Provider Demographics
NPI:1306567003
Name:KLEINMAN-LING, KIRSTEN DANIELLE
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:DANIELLE
Last Name:KLEINMAN-LING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 PALMETTO POINT DR
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-8792
Mailing Address - Country:US
Mailing Address - Phone:415-937-2320
Mailing Address - Fax:
Practice Address - Street 1:5118 PALMETTO POINT DR
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-8792
Practice Address - Country:US
Practice Address - Phone:415-937-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist