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Individual

KELLY KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 4TH ST, MS 8143, LUBBOCK, TX 79430-0002
(806) 743-2757
(806) 743-2563
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K1226
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
K1226
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001KH
BLUE CROSS BLUE SHIELD
TX
01
100192101
FIRSTCARE LHC
TX
01
100192105
FIRSTCARE INDIVIDUAL
TX
05
130893408
TX
01
162693901
LHC MEDICAID
TX
01
8J9140
BCBS LHC
TX
Enumeration date
05/01/2006
Last updated
12/02/2021
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