Individual
ANNA KLYACHKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-4870
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036107503
IL
2084P0800X
Psychiatry Physician
Primary
51332
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107503
—
IL
05
—
34999600
—
WI
Enumeration date
03/31/2006
Last updated
04/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us