Provider Demographics
NPI:1932746914
Name:KLEBENOW, LINDSEY (CNA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KLEBENOW
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NIKLES DR STE 2D
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2588
Mailing Address - Country:US
Mailing Address - Phone:406-577-2399
Mailing Address - Fax:
Practice Address - Street 1:601 NIKLES DR STE 2D
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2588
Practice Address - Country:US
Practice Address - Phone:406-577-2399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care