Provider / Organization | NPI | Date Certified |
---|---|---|
WHITNEY L KLAS | 1164093993 | 2021-07-12 |
Whitney L Klas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164093993. Registration indicates Whitney L Klas is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Whitney L Klas APNP |
Practice Office Address | 2793 LINEVILLE RD GREEN BAY, WI US |
Practice Office Telephone | 9204964700 |
Mailing Address | PO BOX 19070 GREEN BAY, WI 543079070 US |
Business Telephone | 9204964700 |
Address | City / State | Phone / Fax |
---|---|---|
708 Alyssa St | Kaukauna, WI 541301017 | 9204106563 |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 11057-33
WI |