Mary Joan Klemp, MED, RN, MSM, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2005024694 Issued in MO

Practice address

Ganeral Leonard Wood Army Community Hospital
4430 Missouri Ave; Meddac Case Management; Primary Care
Fort Leonard Wood, MO 65473

Phone

(573) 596-0540

Fax

(573) 596-5342

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Registered Nurse

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1083133771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
            "address_2": "4430 MISSOURI AVE; MEDDAC CASE MANAGEMENT",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-7715",
            "fax_number": "573-596-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GANERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
            "address_2": "4430 MISSOURI AVE; MEDDAC CASE MANAGEMENT; PRIMARY CARE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0540",
            "fax_number": "573-596-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMP",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MED, RN, MSM, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MO",
            "license": "2005024694",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2005024694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Aaron Kersey, PA-C
• Leland Blane Kimball, DDS
• Cecelia Grace Kimmel
• Bradley Kinder, M.D.
• Kurt Douglas King, LCSW
• John Klodt
• Angela Marie Kloiber, BS, DPT
• Terina Legene Knarr, CNM, FNP-BC
• Lonnie Knisell
• Mark Charles Kosenesky X, PHARMD

• Case Management Registered Nurse in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Case Management Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.