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Individual

MRS. CARMEN LENEE KLECKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
131 MEADOWLARK DR, RICHMOND, KY 40475-2235
(859) 623-3564
Mailing address
131 MEADOWLARK DR, RICHMOND, KY 40475-2235
(859) 623-3564

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02039
KY

Other

Enumeration date
03/17/2012
Last updated
03/17/2012
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