Provider Demographics
NPI:1265453690
Name:KLING, RICHARD WALTER (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:WALTER
Last Name:KLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:44215 15TH STREET WEST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534
Mailing Address - Country:US
Mailing Address - Phone:661-948-5723
Mailing Address - Fax:661-945-1095
Practice Address - Street 1:44215 15TH STREET WEST
Practice Address - Street 2:SUITE 109
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-948-5723
Practice Address - Fax:661-945-1095
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2016-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA43123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine