Individual
JENNA KLIMOVICH
Active
Individual
JENNA KLIMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60002
CT MEDICAL LICENSE
CT
Enumeration date
03/21/2015
Last updated
01/28/2021
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