Individual
MR. PHILLIP GRADEN KLEINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
8607 BOHLEEN RD, PEYTON, CO 80831
(719) 495-2091
Mailing address
8607 BOHLEEN RD, PEYTON, CO 80831
(719) 495-2091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R37379
NM
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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