Individual
MR. DAVID E KLENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2131 S 17TH ST, SUITE 201, WILMINGTON, NC 28401-7407
(910) 667-9402
(910) 772-9452
Mailing address
2131 S 17TH ST, SUITE 201, WILMINGTON, NC 28401-7407
(910) 667-9402
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
219138
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053247
—
NC
01
—
P00631834
RAILROAD MEDICARE
NC
Enumeration date
07/05/2006
Last updated
07/19/2024
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