Individual
DR. PAUL ALAN KLEKOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, SUITE 5B, SAINT LOUIS, MO 63110-1032
(314) 362-2643
(314) 454-5626
Mailing address
660 S EUCLID AVE, C B 8123, SAINT LOUIS, MO 63110-1010
(314) 362-2643
(314) 454-5626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2006005515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200925808
—
MO
Enumeration date
07/25/2006
Last updated
01/27/2009
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