Provider Demographics
NPI:1831581032
Name:KLAPCHAR, KIMBERLY S (DO)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:S
Last Name:KLAPCHAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 N MAIN ST STE 3100
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-0017
Mailing Address - Country:US
Mailing Address - Phone:937-592-9799
Mailing Address - Fax:937-592-9789
Practice Address - Street 1:1134 N MAIN ST STE 3100
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-0017
Practice Address - Country:US
Practice Address - Phone:937-592-9799
Practice Address - Fax:937-592-9789
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.014335207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0405290Medicaid