MRS. MEGHAN VICTORIA KLINCK PA C NPI 1275594103

NPI Information

NPI: 1275594103
Provider Name: MRS. MEGHAN VICTORIA KLINCK, PA C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
17000 W BLUEMOUND RD STE C
BROOKFIELD, WI
ZIP 53005
Phone: (262) 240-9640
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MRS. Meghan Victoria Klinck, PA C is a surgical physician assistant in Brookfield, WI. MRS. Meghan Victoria Klinck, PA C NPI is 1275594103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17000 W BLUEMOUND RD STE C
BROOKFIELD, WI
ZIP 53005-951
Phone: (262) 240-9640
Fax: (262) 293-9659

The enumeration date for this NPI number is 3/30/2006 and was last updated on 11/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	1519	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41964700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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