Organization
BRIAN S KLEE DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S KLEE DPM (OWNER)
(610) 375-0395
Entity
Organization
Contact information
Practice address
4148 KUTZTOWN RD, TEMPLE, PA 19560
(610) 375-0395
(610) 685-7849
Mailing address
4148 KUTZTOWN RD, TEMPLE, PA 19560
(610) 375-0395
(610) 685-7849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004207R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02341000
CAPITAL BLUE CROSS
PA
01
—
719337
BLUE SHIELD
PA
Enumeration date
11/28/2006
Last updated
08/22/2020
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