Individual
REBEKAH LYNN KLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R084272
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
17683
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6030022
BCBS TENNESSEE
TN
05
—
Q000997
—
TN
Enumeration date
05/28/2013
Last updated
04/17/2015
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