Provider Demographics
NPI:1083844104
Name:CHRISTOPHER KLING, M.D., INC.
Entity Type:Organization
Organization Name:CHRISTOPHER KLING, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:W
Authorized Official - Last Name:KLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-821-1661
Mailing Address - Street 1:16759 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1232
Mailing Address - Country:US
Mailing Address - Phone:636-821-1661
Mailing Address - Fax:636-821-1665
Practice Address - Street 1:16759 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63040-1232
Practice Address - Country:US
Practice Address - Phone:636-821-1661
Practice Address - Fax:636-821-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty