Individual
RONALD E KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1718 STATE RD STE 7, SUMMERVILLE, SC 29486-2802
(843) 303-9418
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008091L
PA
225100000X
Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158191000
WEST VIRGINIA MEDICAID
WV
Enumeration date
10/27/2006
Last updated
07/31/2025
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