Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN C KLINKENBORG, MD
Deactivated Sole ProprietorJOHN C KLINKENBORG, MD is a Family Medicine healthcare provider located in LANDER, Wyoming. NPI 1083777080 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · LANDER, WY
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1083777080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2006 (0.57534246575342 yrs)
- Last Updated
- Feb 20, 2017
- Deactivated
- Jul 17, 2007
- Licenses
-
5316A (WY)G58074 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
634 S 3RD STLANDER, WY, 825203708Browse WY providers · Browse ZIP 82520
- Phone
- 3073493149
- Fax
- 3073327300
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LANDER, WY
| Name | Credential | NPI |
|---|---|---|
| TROY R JONES | MD | 1205833134 |
| BRIAN DALE GEE | MD | 1134117039 |
| DR. PHILLIP ROY GILBERTSON | M.D. | 1366538076 |
| DR. DOUGLAS REX PHIPPS | M.D. | 1508952276 |
| DR. TABITHA MARIE SHAW | MD | 1366519563 |
| DR. KACIE MCKENNA GALLO | M.D. | 1285853622 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.