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Individual

KORREY D KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 858-9894
(970) 858-1331
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44847
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75872544
CO
Enumeration date
02/20/2007
Last updated
09/11/2023
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