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Individual

DR. KATHLEEN KLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6640 INTECH BLVD, SUITE 190, INDIANAPOLIS, IN 46278-2011
(317) 295-0608
(317) 295-0622
Mailing address
6640 INTECH BLVD, STE 195, INDIANAPOLIS, IN 46278-2011
(317) 295-0608
(317) 295-0622

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040574
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200208520
IN
01
P00104873
RAILROAD MEDICARE
IN
Enumeration date
06/14/2006
Last updated
11/10/2008
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