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Individual

KEVIN G KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38035
WI
207Q00000X
Family Medicine Physician
53810
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32278300
WI
01
38035
MEDICAL LICENSE
WI
Enumeration date
09/05/2006
Last updated
02/18/2015
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