Provider Demographics
NPI:1922314723
Name:KLINGENSMITH CLINICAL, INC.
Entity Type:Organization
Organization Name:KLINGENSMITH CLINICAL, INC.
Other - Org Name:KLINGENSMITH CLINICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KNEPSHIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-763-8889
Mailing Address - Street 1:404 FORD ST
Mailing Address - Street 2:P.O. BOX 151
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1230
Mailing Address - Country:US
Mailing Address - Phone:724-763-8889
Mailing Address - Fax:724-763-4284
Practice Address - Street 1:1300 ALABAMA AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1135
Practice Address - Country:US
Practice Address - Phone:724-763-8889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health