Individual
DR. IAN D KLEINHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 MACK ST, WINDSOR, CT 06095-2759
(860) 298-8830
(860) 298-9929
Mailing address
74 MACK ST, STE 1, WINDSOR, CT 06095-2759
(860) 298-8830
(860) 298-9929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036853
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001368530
—
CT
Enumeration date
07/14/2005
Last updated
02/27/2020
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