Provider Demographics
NPI:1902934615
Name:KLINGLER, DEBORA LYNN (RD LDN CDE)
Entity Type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:LYNN
Last Name:KLINGLER
Suffix:
Gender:F
Credentials:RD LDN CDE
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Mailing Address - Street 1:205 E MAIN ST
Mailing Address - Street 2:PO BOX 696
Mailing Address - City:AULANDER
Mailing Address - State:NC
Mailing Address - Zip Code:27805-0696
Mailing Address - Country:US
Mailing Address - Phone:252-345-1739
Mailing Address - Fax:252-209-9082
Practice Address - Street 1:312D/240 ACADEMY ST SOUTH
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-2451
Practice Address - Country:US
Practice Address - Phone:252-332-3548
Practice Address - Fax:252-335-1665
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCL001580133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2994136Medicare Oscar/Certification