Provider Demographics
NPI:1184647547
Name:KLEPP, CHRISTINE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:A
Last Name:KLEPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3347 STATE ROAD 7
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449
Mailing Address - Country:US
Mailing Address - Phone:561-333-8460
Mailing Address - Fax:561-333-2899
Practice Address - Street 1:3347 STATE ROAD 7
Practice Address - Street 2:SUITE 200
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449
Practice Address - Country:US
Practice Address - Phone:561-333-8460
Practice Address - Fax:561-333-2899
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61467174400000X
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE71256Medicare UPIN
FL14753BMedicare ID - Type Unspecified