Provider Demographics
NPI:1336363753
Name:KLEMP, JOSHUA AUGUST (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AUGUST
Last Name:KLEMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 411474
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1474
Mailing Address - Country:US
Mailing Address - Phone:913-647-4100
Mailing Address - Fax:913-258-2509
Practice Address - Street 1:712 1ST TER STE 205
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1735
Practice Address - Country:US
Practice Address - Phone:913-579-6468
Practice Address - Fax:913-250-5987
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-35770207T00000X
MO2012018774207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201115990BMedicaid