Individual
DR. KELLY ELIZABETH KLINKER
Active
Individual
DR. KELLY ELIZABETH KLINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01066585A
IN
208C00000X
Colon & Rectal Surgery Physician
139359
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621930
ANTHEM
IN
05
—
200945020
—
IN
01
—
P00737804
R.R. MEDICARE
IN
Enumeration date
05/24/2007
Last updated
04/02/2024
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