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Individual

JOHN PETER KLIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
18077 RIVER RD STE 200, NOBLESVILLE, IN 46062-8334
(317) 776-7028
(317) 773-7910
Mailing address
18077 RIVER RD STE 200, NOBLESVILLE, IN 46062-8334
(317) 776-7028
(317) 773-7910

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02002790A
IN
207LA0401X
Addiction Medicine (Anesthesiology) Physician
02002790A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
02002790A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000712623
ANTHEM
IN
01
11492492
CAQH
IN
05
200462270
IN
Enumeration date
03/14/2006
Last updated
02/15/2024
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