Individual
TAIJHA R KLEINMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14949 N US HIGHWAY 25 E, STE. 6, CORBIN, KY 40701-6285
(606) 528-2160
(606) 528-2162
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2062
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100388950
—
KY
01
—
P01559923
RR MEDICARE
KY
Enumeration date
10/28/2015
Last updated
03/30/2016
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