Individual
DR. KELLY L KLING-TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4291
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066455A
IN
208M00000X
Hospitalist Physician
01066455A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000614122
ANTHEM
IN
01
—
100180890G
MEDICAID GROUP
IN
05
—
200937150
—
IN
Enumeration date
05/08/2007
Last updated
09/11/2017
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