Provider Demographics
NPI:1821406885
Name:KLIMEK, CHELSEA ANNE
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ANNE
Last Name:KLIMEK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ANNE
Other - Last Name:POND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:730 E RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-9596
Mailing Address - Country:US
Mailing Address - Phone:757-401-7089
Mailing Address - Fax:
Practice Address - Street 1:730 E RIDGE DR
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9596
Practice Address - Country:US
Practice Address - Phone:757-401-7089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472V0600XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherVeterinary