Individual
KATHLEEN KLECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7206 DEAN RD, INDIANAPOLIS, IN 46240-3628
(310) 890-8048
Mailing address
7206 DEAN RD, INDIANAPOLIS, IN 46240-3628
(310) 890-8048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002565A
IN
363A00000X
Physician Assistant
10002565B
IN
Other
Enumeration date
10/04/2010
Last updated
08/13/2024
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