Provider Demographics
NPI:1306416623
Name:KLINGAMAN, KATIE JOLEEN TLUSTY (MGC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:JOLEEN TLUSTY
Last Name:KLINGAMAN
Suffix:
Gender:F
Credentials:MGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 PLEASANT ST STE 490
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1427
Mailing Address - Country:US
Mailing Address - Phone:515-241-4232
Mailing Address - Fax:515-241-4633
Practice Address - Street 1:1221 PLEASANT ST STE 490
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1427
Practice Address - Country:US
Practice Address - Phone:515-241-4232
Practice Address - Fax:515-241-4633
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS