Individual
KATHLEEN KLICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 228-1620
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN145183L
PA
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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