Individual
JASON KLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
ROUTES 940 & 115, BLAKESLEE, PA 18610
(570) 646-8745
(570) 646-8962
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA000878
PA
363AM0700X
Medical Physician Assistant
Primary
MA050920
PA
Other
Enumeration date
07/14/2006
Last updated
09/23/2024
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