Provider Demographics
NPI:1093697542
Name:KLINGLER, DARLENE RAE (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:RAE
Last Name:KLINGLER
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:RAE
Other - Last Name:KOELLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2404 SUNSET VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-2094
Mailing Address - Country:US
Mailing Address - Phone:909-851-6396
Mailing Address - Fax:
Practice Address - Street 1:2404 SUNSET VISTA CIR
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-2094
Practice Address - Country:US
Practice Address - Phone:909-851-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT90867133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered