Provider Demographics
NPI:1003873803
Name:KLER, SHAVNEET (DC)
Entity Type:Individual
Prefix:
First Name:SHAVNEET
Middle Name:
Last Name:KLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHAVNEET
Other - Middle Name:
Other - Last Name:KLER-VIRDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3411 SILVERSIDE ROAD. 106 WELDIN BUILDING
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810
Mailing Address - Country:US
Mailing Address - Phone:302-650-4542
Mailing Address - Fax:
Practice Address - Street 1:3411 SILVERSIDE ROAD.
Practice Address - Street 2:106 WELDIN BUILDING
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810
Practice Address - Country:US
Practice Address - Phone:302-650-4542
Practice Address - Fax:302-371-9800
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU72536Medicare UPIN