Individual
KENDEL L KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W PATTERSON ST, MOUNT VERNON, MO 65712-1054
(417) 466-7700
Mailing address
14662 LAWRENCE 2085, MOUNT VERNON, MO 65712-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4P73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203231600
—
MO
Enumeration date
05/27/2005
Last updated
11/12/2010
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