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Individual

ROGER JOHN KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23894
KY
207RC0000X
Cardiovascular Disease Physician
Primary
23894
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0081444000
WV
05
0599606
OH
05
64238942
KY
01
P00704455
MEDICARE-RAILROAD KY
KY
01
P01312545
RR MEDICARE
KY
01
P01428750
RR MEDICARE
OH
01
P110081097
RR MEDICARE
KY
Enumeration date
08/31/2006
Last updated
05/07/2024
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