Organization
TRI STATE INTERNAL MEDICINE SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L KLING-TIPTON MD (OWNER)
(812) 477-4375
Entity
Organization
Contact information
Practice address
3700 BELLEMEADE AVE, STE 119, EVANSVILLE, IN 47714-0102
(812) 477-4375
(812) 477-3375
Mailing address
3700 BELLEMEADE AVE, STE 119, EVANSVILLE, IN 47714-0102
(812) 477-4375
(812) 477-3375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IN
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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