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Lewis & Klancke Cardiology PA

Cardiovascular Disease Physician in Daytona Beach, FL · enumerated 2022 · authorized official Kathleen Phillips, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689395675

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Registry record

Entity type Organization (Type 2)
Legal business name Lewis & Klancke Cardiology PA
Other name <Unavail>
Parent organization Lewis & Klancke Cardiology, P.A.
Practice address 655 N Clyde Morris Blvd, Daytona Beach, FL, 32114
Phone (386) 258-8722
Fax (386) 258-8659
Enumeration date Sep 7, 2022
Last updated in NPPES Sep 16, 2022

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Kathleen Phillips
Title Credentialing Coordinator
Phone (386) 258-8722

Other identifiers

Identifier Type State Issuer
99279 Other FL MEDICARE
378998500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lewis & Klancke Cardiology PA?
NPPES lists Kathleen Phillips (Credentialing Coordinator) as the authorized official for this organization.
What is the NPI number for Lewis & Klancke Cardiology PA?
The NPI for Lewis & Klancke Cardiology PA is 1689395675, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-16.