Individual
MR. GLEN THOMAS KLECKNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
1259 S CEDAR CREST BOULEVARD, SUITE 322, ALLENTOWN, PA 18103-6206
(610) 435-8299
(610) 435-1940
Mailing address
1259 S CEDAR CREST BOULEVARD, SUITE 322, ALLENTOWN, PA 18103-6206
(610) 435-8299
(610) 435-1940
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000175L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013248
AETNA
PA
01
—
02653200
CAPITAL BLUECROSS
PA
Enumeration date
04/12/2006
Last updated
07/08/2007
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