Individual
ALISON S. KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 BARNHILL DR, SUITE 139, INDIANAPOLIS, IN 46202-5112
(317) 944-7744
(317) 274-3700
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01066269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200955320
—
IN
Enumeration date
11/17/2006
Last updated
01/13/2021
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