KERI ANN KLINK


Address: 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788
Phone: 8603477636

KERI ANN KLINK (NPI# 1336419886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336419886
Entity Type Individual
Full Name KERI ANN KLINK
Credential PA-C
Practice Address 512 Saybrook Rd
Suite 100
Middletown
CT 06457-4788
Practice Telephone 8603477636
Practice Fax Number 8608941882
Mailing Telephone 8603477636
Mailing Fax Number 8608941882
Enumeration Date 2011-12-30
Last Update Date 2012-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
002695 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
002695 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008037198 05

Office Location

Street Address 512 SAYBROOK RD
SUITE 100
City MIDDLETOWN
State CT
Zip Code 06457-4788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528068921 Arpad Sandor Fejos Physical Medicine & Rehabilitation 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 2005-07-28
1750912622 Jamie Lynn Beaulieu Orthopaedic Surgery 512 Saybrook Rd, Middletown, CT 06457-4788 2020-01-30
1568820033 Connecticut Brace and Limb Clinic/Center 512 Saybrook Rd, Lower Level, Middletown, CT 06457-4788 2016-01-29
1982008108 Brian Beltrani Physician Assistant 512 Saybrook Rd, Middletown, CT 06457-4788 2014-10-17
1497000103 Adebola Adeleke Podiatrist 512 Saybrook Rd, Ste 100, Middletown, CT 06457-4788 2012-07-18
1578897880 Barbara Joyce Coe Physical Therapist 512 Saybrook Rd, Middletown, CT 06457-4788 2009-09-21
1134309131 Matthew Joseph Sobolewski Physician Assistant 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 2007-11-07
1497934285 Ryan Andrew Naujoks Orthopaedic Surgery 512 Saybrook Rd, Middletown, CT 06457-4788 2007-10-29
1376744565 Alfred K Hicks Jr. Orthopaedic Surgery 512 Saybrook Rd, Ste 100, Middletown, CT 06457-4788 2007-05-29
1306054309 Orthopedic Associates of Middletown, PC Podiatrist 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 2007-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649278540 Kyle R Brown Physician Assistant 540 Saybrook Rd, Suite 160, Middletown, CT 06457-4711 2005-07-13
1629698717 Brian P Dudgeon Physician Assistant 95 Crystal Run Rd, Middletown, NY 10941-7001 2020-04-20
1548801830 Michael Tammaro Physician Assistant 28 Crescent St, Middletown, CT 06457-3654 2019-10-08
1447811294 Julia E. Byman Physician Assistant 95 Crystal Run Rd, Middletown, NY 10941-7001 2019-06-24
1568939775 Logan Z Reisenbigler Physician Assistant 95 Crystal Run Rd, Middletown, NY 10941-7001 2018-10-25
1528540127 Maneesh Pal Physician Assistant 707 E Main St, Middletown, NY 10940-2650 2018-08-30
1821462086 Gabriel Anthony Godart Physician Assistant 480 Red Hill Rd, Middletown, NJ 07748-3052 2015-11-25
1366837056 Katherine Erikson Physician Assistant 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 2015-03-31
1508262619 Erica Joy Nicholson Physician Assistant 707 E Main St, Middletown, NY 10940-2650 2014-11-17
1982008108 Brian Beltrani Physician Assistant 512 Saybrook Rd, Middletown, CT 06457-4788 2014-10-17
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Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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