Individual
MICHAEL J. KLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1301 KS HIGHWAY 264, LARNED, KS 67550-5353
(620) 285-4040
Mailing address
1301 KS HIGHWAY 264, LARNED, KS 67550-5353
(620) 285-4040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1821
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP 1821
KANSAS LICENSE NUMBER
KS
Enumeration date
10/22/2008
Last updated
10/13/2009
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