Doctor Name: | FREDERICK PETER KLEMICK |
NPI Number: | 1538453717 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0S004158L |
Business Practice Address: | 2500 Lisburn Rd Camp Hill, PA - 170118005 |
Business Phone Number: | 7177374531 |
Business Fax Number: | |
Mailing Address: | 22 Blakely Rd, DOWNINGTOWN |
State: | PA |
Postal Code: | 193351443 |
Phone Number: | 6108731863 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2011 |
NPI Last Update Date: | 06/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0S004158L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |