Individual
DR. NICHOLAS PAUL KLOKOCHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 FOUNTAINHEAD CT, LENOIR CITY, TN 37772-6919
(239) 777-3609
Mailing address
120 FOUNTAINHEAD CT, LENOIR CITY, TN 37772-6919
(239) 777-3609
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME 27720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78445
BC/BS OF FLORIDA
FL
Enumeration date
05/24/2005
Last updated
11/19/2024
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