Individual
JENNIFER LYNN KLAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 S LAKE PARK AVE, SUITE 300, HOBART, IN 46342-6790
(219) 947-6711
Mailing address
1400 S LAKE PARK AVE, SUITE 300, HOBART, IN 46342-6790
(219) 947-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28132026A
IN
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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