Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | DAPT000611 | PA |
N | 2251H1200X | Hand | PT007929L | PA |
NPI | 1386642585 |
---|---|
Provider Name | Monica K Klaman |
First Address | Allentown, PA 18105-1754 |
Second Address | Allentown, PA 18103-6224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 30/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P53806 | (02) | PA |