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Individual
DR. KEVIN C KLEINSCHMIDT
Active
Individual
DR. KEVIN C KLEINSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0986
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04D0953144
CLIA
AR
05
—
12715600100
—
AR
01
—
5J650
BLUE CROSS
AR
01
—
861079386
TAX #
AR
01
—
AP.220001
TRICARE
AR
01
—
P00052246
RAILROAD MCR
AR
01
—
P00649786
MEDICARE RAILROAD CARRIER
AR
Enumeration date
07/31/2006
Last updated
02/25/2013
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