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Individual

MR. DONALD G KLINESTIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1028 MASON ST, MILTON, WV 25541
(304) 743-4244
(304) 743-3124
Mailing address
1028 MASON ST, MILTON, WV 25541
(304) 743-4244
(304) 743-3124

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08955
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000149730
BCBS
05
0049588000
WV
01
011029207
MEDICARE TRAVELERS
Enumeration date
10/02/2006
Last updated
11/04/2009
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