Basic Information
| Provider Information | |||||||||
| NPI: | 1053308502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLEKAMP | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | WILLIAM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 206 BEDFORD WAY | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370645526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6157903290 | ||||||||
| FaxNumber: | 6157948845 | ||||||||
| Practice Location | |||||||||
| Address1: | 4323 CAROTHERS PKWY STE 201 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370675973 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6157912630 | ||||||||
| FaxNumber: | 6157912639 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2005 | ||||||||
| LastUpdateDate: | 11/30/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 20476 | SC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 43401 | GA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0117X | MD022166 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
No ID Information.