Individual
AMY N KLAEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRN
Contact information
Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN124292
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913088
—
AL
05
—
124328378A
—
GA
05
—
3600120
—
TN
01
—
4167426
BLUE CROSS BLUE SHIELD TN
TN
05
—
8053488
—
NC
01
—
N422118
WELLCARE (GA MEDICAID)
GA
01
—
P00472275
RAILROAD MEDICARE
TN
Enumeration date
09/06/2007
Last updated
02/16/2010
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