Amanda Deloatche Klayum

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038740 Issued in PA

Practice address

1260 Broadcasting Rd
Wyomissing, PA 19610-3223

Phone

(610) 376-3210

NPI assigned

Mar 1, 2011

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1679871511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SHREWSBURY CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196088509",
            "telephone_number": "813-486-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103223",
            "telephone_number": "610-376-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAYUM",
        "first_name": "AMANDA",
        "middle_name": "DELOATCHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Young-Chan Kim, D.O.
• Sanghoon Kim, MD
• Christina Eve Jensen Kimball, MD
• Carol L Kinsey, CRNA
• Kaylee Kistler
• Gretchen Marie Klepper, DPT
• James R. Kline, PA-C
• Kayla Claire Klingensmith, DMD
• Laura Lindsay Klitsch, OTR/L
• Samantha Marie Klumpp, PA

• General Practice Dentistry in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.