1902985260 NPI number — DR. KATY T. KLUMPP-RICHARD D.C.

Table of content: DR. KATY T. KLUMPP-RICHARD D.C. (NPI 1902985260)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902985260 NPI number — DR. KATY T. KLUMPP-RICHARD D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLUMPP-RICHARD
Provider First Name:
KATY
Provider Middle Name:
T.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOUTON
Provider Other First Name:
KATY
Provider Other Middle Name:
KLUMPP
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902985260
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 1/2 W. 8TH ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROWLEY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-783-2223
Provider Business Mailing Address Fax Number:
337-788-0888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 1/2 W. 8TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWLEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-783-2223
Provider Business Practice Location Address Fax Number:
337-788-0888
Provider Enumeration Date:
11/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1404 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1404 . This is a "LOUISIANA CHIROPRACTIC LICENSE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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