Provider Demographics
NPI:1639991920
Name:KLIER, EMMA GABRIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:GABRIELLE
Last Name:KLIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:302-644-4830
Practice Address - Street 1:23900 MILTON ELLENDALE HWY
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-2714
Practice Address - Country:US
Practice Address - Phone:302-684-5635
Practice Address - Fax:866-546-6159
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
DEC5-0012191363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant