Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 20476 | SC |
N | 207X00000X | Orthopaedic Surgeon | 43401 | GA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD022166 | TN |
NPI | 1053308502 |
---|---|
Provider Name | John William Klekamp |
First Address | Franklin, TN 37064-5526 |
Second Address | Franklin, TN 37067-5973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 30/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G54990 | (02) |