Individual
VICKI SUZANNE KLIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-7861
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-7861
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N-8053
AR
2086X0206X
Surgical Oncology Physician
Primary
N-8053
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020019344
RAILROAD MEDICARE
—
05
—
117972001
—
AR
Enumeration date
10/13/2006
Last updated
10/27/2011
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