Provider Demographics
NPI:1669198768
Name:KLING, JULIE LYNN (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:KLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:DYSART
Mailing Address - State:PA
Mailing Address - Zip Code:16636-9501
Mailing Address - Country:US
Mailing Address - Phone:814-515-3324
Mailing Address - Fax:
Practice Address - Street 1:2907 PLEANSANT VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN584341163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice