Individual
PATRICIA M KLUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3203 LENOX RD NE APT 15, ATLANTA, GA 30324-2650
(404) 814-0883
Mailing address
3203-15 LENOX RD, ATLANTA, GA 30324
(404) 814-0883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN101179
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000556806M
—
GA
Enumeration date
02/01/2006
Last updated
08/01/2007
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