Provider Demographics
NPI:1073214656
Name:KLEPKO LLC
Entity Type:Organization
Organization Name:KLEPKO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEPKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:435-862-8672
Mailing Address - Street 1:1560 SANDY LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-2150
Mailing Address - Country:US
Mailing Address - Phone:435-862-8672
Mailing Address - Fax:
Practice Address - Street 1:918 CURLEW RD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-1901
Practice Address - Country:US
Practice Address - Phone:727-603-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty