Linda M. Klejch, RD
Individual provider Active NPI Registered Dietitian · Corning, IA
NPI 1407911340 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407911340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00560 (IA)
- Practice address
- 603 Rosary Dr
Corning, IA 50841-1683 - Phone
- (641) 322-3121
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00560 | IA | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00560 | IA | Yes |
Addresses
Primary practice location
603 Rosary Dr
Corning, IA 50841-1683
Mailing address
603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-3121
Other providers in Corning, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.