Individual
JEREMY KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 MITCHELL BLVD BLDG 37547TH, LAUGHLIN AFB, TX 78843-5242
(830) 298-6386
Mailing address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-1951
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN60866146
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61176673
WA
Other
Enumeration date
02/09/2020
Last updated
06/26/2025
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