Individual
RICK KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Mailing address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0307020
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427016407
—
MO
01
—
431188342
UNITED HEALTHCARE
MO
01
—
P00480403
RAILROAD MEDICARE
MO
Enumeration date
08/16/2007
Last updated
03/02/2010
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