Provider Demographics
NPI:1386471704
Name:KLINGEL, BEATRICE CHIPO
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:CHIPO
Last Name:KLINGEL
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 1:401 CHRIS DR
Mailing Address - Street 2:
Mailing Address - City:LENHARTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19534-9251
Mailing Address - Country:US
Mailing Address - Phone:484-629-5965
Mailing Address - Fax:
Practice Address - Street 1:401 CHRIS DR
Practice Address - Street 2:
Practice Address - City:LENHARTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19534-9251
Practice Address - Country:US
Practice Address - Phone:484-629-5965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily