Jodi Lynn Klepp

Individual provider Active NPI Religious Nonmedical Practitioner · Slinger, WI

NPI 1992332076 · NPPES record last updated Mar 26, 2020

Key facts

NPI
1992332076
Entity type
Individual (NPI type 1)
Primary specialty
Religious Nonmedical Practitioner 374K00000X
Practice address
608 Ellys Way
Slinger, WI 53086-9338
Phone
(920) 619-0571
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
374K00000X Yes

Addresses

Primary practice location

608 Ellys Way
Slinger, WI 53086-9338

Mailing address

PO Box 261
Slinger, WI 53086-0261
Phone (920) 619-0571

Other providers in Slinger, WI

All providers in Slinger, WI · Religious Nonmedical Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.