Provider Demographics
NPI:1770842601
Name:KLINGER, KARA LYN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYN
Last Name:KLINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 SHARPTAIL RUN
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017-6364
Mailing Address - Country:US
Mailing Address - Phone:651-246-5168
Mailing Address - Fax:
Practice Address - Street 1:1054 SHARPTAIL RUN
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-6364
Practice Address - Country:US
Practice Address - Phone:651-246-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-12
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist