Doctor Name: | MR. ROB L KLINGENSMITH |
NPI Number: | 1386695377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | SP008998 |
Business Practice Address: | 1650 Cochrane Cir Ft Carson, CO - 809134613 |
Business Phone Number: | 7195267000 |
Business Fax Number: | |
Mailing Address: | 4322 Crow Creek Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809222456 |
Phone Number: | 5206786122 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP008998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |