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Individual

DR. CHARLES EUGENE KLINGINSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
105 BORGA BUILDING, FESTUS, MO 63028-1136
(636) 937-3207
(636) 937-5307
Mailing address
620 COLLINS DR, FESTUS, MO 63028-2077
(636) 937-9200

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE004138
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119232
GHP
MO
01
144777
HUMANA CHOICE
MO
01
1493532
1ST HEALTH PLAN
MO
01
15060
BLUE CROSS ID NUMBER
MO
01
17675
MERCY
MO
01
335496
HEALTHLINK ID NUMBER
MO
01
350053370
RAILROAD MEDICARE
MO
01
418437
PRINCIPAL
MO
01
4450023
UNITED HEALTH CARE ID #
MO
01
982605
ONE HEALTH PLAN
MO
Enumeration date
06/01/2005
Last updated
04/15/2020
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