Provider Demographics
NPI:1467449934
Name:KLING, CHRISTOPHER W (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:KLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16759 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1232
Mailing Address - Country:US
Mailing Address - Phone:636-821-1661
Mailing Address - Fax:636-821-1665
Practice Address - Street 1:16759 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63040-1232
Practice Address - Country:US
Practice Address - Phone:636-821-1661
Practice Address - Fax:636-821-1665
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2005001331207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO707807OtherHEALTHLINK
MO241943OtherGROUP HEALTH PLAN
MO5630105OtherFIRST HEALTH
MO7770611OtherAETNA
MOSTL2505238OtherUNITED HEALTHCARE
MOCN5366OtherRR MEDICARE
MOP00219384OtherRAILROAD MEDICARE
MO197539OtherBLUE SHIELD
MOP00219384OtherRAILROAD MEDICARE