Individual
JEROMY MICHAEL KLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
16414 W 760 RD, TAHLEQUAH, OK 74464-1675
(918) 537-4482
Mailing address
16414 W 760 RD, TAHLEQUAH, OK 74464-1675
(918) 537-4482
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
01/18/2023
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