Provider Demographics
NPI:1376543728
Name:KLIM, PHILIP A (DO)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:KLIM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2291 EVELYN BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5424
Mailing Address - Country:US
Mailing Address - Phone:540-434-3831
Mailing Address - Fax:540-432-0518
Practice Address - Street 1:2291 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5424
Practice Address - Country:US
Practice Address - Phone:540-434-3831
Practice Address - Fax:540-432-0518
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102-033640207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA182572OtherANTHEM
VA182572OtherANTHEM
VAC47236Medicare UPIN