Provider Demographics
NPI:1255488433
Name:KLEPPER, TIMOTHY PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PHILIP
Last Name:KLEPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-0008
Mailing Address - Country:US
Mailing Address - Phone:931-823-4045
Mailing Address - Fax:931-823-4059
Practice Address - Street 1:502 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1718
Practice Address - Country:US
Practice Address - Phone:931-823-4045
Practice Address - Fax:931-823-4059
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34630208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ018650Medicaid
TN6056377OtherBCBS TN
TN103G701635OtherMEDICARE
G86645Medicare UPIN