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Individual

AUDREY KLENKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(843) 815-6699
(843) 815-6695
Mailing address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(843) 815-6699
(843) 815-6695

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35563
SC
208200000X
Plastic Surgery Physician
Primary
35563
SC
208200000X
Plastic Surgery Physician
57013009
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355635
SC
Enumeration date
10/22/2007
Last updated
02/12/2026
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