Individual
DR. JONATHAN L KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 E BROADWAY AVE, MARYVILLE, TN 37804-5782
(865) 380-9746
Mailing address
250 E BROADWAY AVE, MARYVILLE, TN 37804-5782
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
2010003222
MO
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
487634
TN
207ZP0101X
Anatomic Pathology Physician
2010003222
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2010003222
MO
Other
Enumeration date
07/05/2010
Last updated
10/10/2012
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