Provider Demographics
NPI:1841487493
Name:KLECKNER, ANN CASHAN (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CASHAN
Last Name:KLECKNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 GHOST CRAB CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-3111
Mailing Address - Country:US
Mailing Address - Phone:912-691-2341
Mailing Address - Fax:912-691-0556
Practice Address - Street 1:1 GHOST CRAB CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-3111
Practice Address - Country:US
Practice Address - Phone:912-691-2341
Practice Address - Fax:912-691-0556
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0343872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry