John Edgar Kleckley in Mt Pleasant - Geriatric Medicine

John Edgar Kleckley - NPI 1356544100

John Edgar Kleckley is a Geriatric Medicine in Mt Pleasant, South Carolina. John Edgar Kleckley practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for John Edgar Kleckley is 1356544100. The last update date is 2022-05-26.

John Edgar Kleckley's current location address is 1200 Two Island Ct Unit E, Mt Pleasant, South Carolina. You can contact this provider via phone number 8544447676 and fax number 8549990549. The mailing address for John Edgar Kleckley is 1200 Two Island Ct Unit E, Mt Pleasant, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edgar Kleckley
Address 1200 Two Island Ct Unit E, Mt Pleasant, South Carolina
Phone Number 8544447676
Fax Number 8549990549
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1356544100
Provider Enumeration Date 2007-06-08
Last Updated Date 2022-05-26

Provider Mailing Address Detail

Address 1200 Two Island Ct Unit E
City Mt Pleasant
State South Carolina (SC)
Post Code 294667418
Phone Number 8544447676
Fax Number 8549990549

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 29749
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00467100 SC RAILROAD MEDICARE PIN
297495 SC --
P00803393 SC RAILROAD MEDICARE ID-RSFPN

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FAQs about John Edgar Kleckley

What is the John Edgar Kleckley's 1356544100?

The John Edgar Kleckley's NPI (National Provider Identifier) Number is 1356544100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John Edgar Kleckley is physically located?

The John Edgar Kleckley is situated at the following address: 1200 Two Island Ct Unit E, Mt Pleasant, SC 294667418.

What is John Edgar Kleckley's area of expertise and its corresponding taxonomy classification?

The John Edgar Kleckley's field of specialization is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their areas of practice.

When did John Edgar Kleckley receive its 1356544100 assignment?

The John Edgar Kleckley was assigned its 1356544100 on 2007-06-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding John Edgar Kleckley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Edgar Kleckley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-05-26.

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