Provider Demographics
NPI:1396001871
Name:KLING, JOSEPH D (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:KLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 STATE ROUTE 3 S STE 109
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1773
Mailing Address - Country:US
Mailing Address - Phone:410-970-2321
Mailing Address - Fax:
Practice Address - Street 1:1166 STATE ROUTE 3 S STE 109
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1773
Practice Address - Country:US
Practice Address - Phone:410-970-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS07301111NS0005X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program