Individual
DR. MARY CELESTE KLINGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
219 E JOHNSON AVE, CHELAN, WA 98816-9160
(509) 682-2511
(509) 682-2515
Mailing address
219 E. JOHNSON AVE., CHELAN, WA 98816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042305
WA
208600000X
Surgery Physician
MD00042305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196784
L&I
WA
05
—
835045
—
WA
Enumeration date
02/13/2006
Last updated
02/18/2013
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