Individual
DR. EMILY CAROL KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
915 SOUTHWEST BLVD, STE H, JEFFERSON CITY, MO 65109-5014
(573) 635-2225
(573) 634-5515
Mailing address
10411 TUNNEL ST, EUGENE, MO 65032-1003
(573) 635-2225
(573) 634-5515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006029077
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H9158
BCBS OF TEXAS
TX
Enumeration date
12/06/2006
Last updated
07/24/2019
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