Organization
KLAIN, HEASLEY, NETTLETON MD PC
Active
Parent organization
MEDVANTX, INC.
Other names
Matthew N Klain MD-Blairsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
25 COLONY BLVD STE 102, BLAIRSVILLE, PA 15717-7971
(724) 459-9111
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD041299L
PA
Other
Enumeration date
05/06/2010
Last updated
09/02/2025
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