| Doctor Name: | BRIAN JOSEPH KLOCKNER |
| NPI Number: | 1295067122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 002987 |
| Business Practice Address: | 155 Mcdonald Drive Sw New Philadelphia, OH - 44663 |
| Business Phone Number: | 3303088999 |
| Business Fax Number: | 3303088016 |
| Mailing Address: | 155 Mcdonald Drive Sw, NEW PHILADELPHIA |
| State: | OH |
| Postal Code: | 44663 |
| Phone Number: | 3303088999 |
| Fax Number: | 3303088016 |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 002987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |