Individual
ANDREW J KLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 E 7TH ST, HAYS, KS 67601-4139
(785) 628-2871
Mailing address
1008 GREENS VIEW DR, WOOSTER, OH 44691-2660
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2016-01242
NC
Other
Enumeration date
04/09/2012
Last updated
08/20/2020
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