Basic Information
| Provider Information | |||||||||
| NPI: | 1477978294 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLOEPPING | ||||||||
| FirstName: | CAROLYN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 521 PARNASSUS AVE | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154769035 | ||||||||
| FaxNumber: | 4154768444 | ||||||||
| Practice Location | |||||||||
| Address1: | 185 S ORANGE AVE DEPT OF | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071032757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739725007 | ||||||||
| FaxNumber: | 9739720582 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | C175601 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | 25MA09698200 | NJ | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.