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Individual
KRISTEN M KLINGEN
Active
Individual
KRISTEN M KLINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008457L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170988
AETNA HMO PROVIDER #
PA
01
—
1654463
BC/BS PIN
—
01
—
2331048000
PERSONAL CHOICE PROVIDER#
PA
01
—
5620457
AETNA TRADITIONAL PROV. #
PA
Enumeration date
07/11/2006
Last updated
02/27/2008
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