Individual
PAM A KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
069027
MO
363LN0000X
Neonatal Nurse Practitioner
44515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069027
MO LICENSE
MO
01
—
1476525102
KS RN LICENSE
KS
01
—
44515
KS APN LICENSE
KS
Enumeration date
07/25/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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