Individual
DR. JULIE A KLENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-1821
(317) 944-5000
(317) 963-9452
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
01090814A
IN
208000000X
Pediatrics Physician
Primary
01090814A
IN
208000000X
Pediatrics Physician
53845
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H61
MEDICARE PTAN
IN
Enumeration date
05/10/2017
Last updated
10/13/2023
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