Provider Demographics
NPI: | 1184082364 |
---|---|
Name: | DR. KATE KLEMER, INC |
Entity type: | Organization |
Organization Name: | DR. KATE KLEMER, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DOCTOR OF CHIROPRACTIC |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | KATHERINE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KLEMER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 413-345-6366 |
Mailing Address - Street 1: | 376 PLEASANT ST |
Mailing Address - Street 2: | |
Mailing Address - City: | NORTHAMPTON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 01060-3917 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 413-345-6366 |
Mailing Address - Fax: | 413-345-6366 |
Practice Address - Street 1: | 376 PLEASANT ST |
Practice Address - Street 2: | |
Practice Address - City: | NORTHAMPTON |
Practice Address - State: | MA |
Practice Address - Zip Code: | 01060-3917 |
Practice Address - Country: | US |
Practice Address - Phone: | 413-345-6366 |
Practice Address - Fax: | 413-345-6366 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-02-03 |
Last Update Date: | 2016-02-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 1412 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |