Individual
DR. ROBERT PATRICK KLINGENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1415 RAINBOW DR, GADSDEN, AL 35901-5319
(256) 546-5782
(256) 547-5201
Mailing address
1415 RAINBOW DR, GADSDEN, AL 35901-5319
(256) 546-5782
(256) 547-5201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S380TA051
AL
152WC0802X
Corneal and Contact Management Optometrist
S380TA051
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0605110001
PALMETTO GBA-J
AL
01
—
220NMEDCAREPRO
ANTHEMBLUECROSSANDBLUESHI
AL
01
—
51059448
BLUECROSSBLUESHIELDOFALAB
AL
01
—
T68961
VIVAHEALTH
AL
Enumeration date
02/24/2008
Last updated
03/03/2008
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