Cross Donald Klemko, BS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

400 Bizzell St
College Station, TX 77843-0001

Phone

(979) 845-5129

NPI assigned

Oct 27, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1003328212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARION PUGH DR APT 1502",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402739",
            "telephone_number": "301-518-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BIZZELL ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778430001",
            "telephone_number": "979-845-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMKO",
        "first_name": "CROSS",
        "middle_name": "DONALD",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Donavon King II, M.D.
• Cassandra Nicole Kingery, OTR
• Kyle Kirkland, D.O.
• Hailey Kirkpatrick
• Mackenzie Kai Kirkpatrick, O.D.
• Elizabeth Cunningham Klemm, PT, MPH
• Daniel Alton Kniffin, A.T.C., L.A.T.
• Kristopher David Knoop, M.D.
• Allyson Koger
• Claire Macpherson Kolb, PA-C

• Athletic Trainer in College Station, TX
• Providers in College Station, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.