Individual
KATIE ELIZABETH KLECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2670, NEWARK, DE 19718-4054
(302) 733-2438
Mailing address
4755 OGLETOWN STANTON RD STE 2670, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
PA030461
DC
363A00000X
Physician Assistant
Primary
C5-0000604
DE
Other
Enumeration date
03/05/2007
Last updated
03/03/2023
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