Individual
DR. KATHRYN I KLEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7910 W JEFFERSON BLVD, SUITE 201, FORT WAYNE, IN 46804-4159
(260) 436-3789
(260) 436-2703
Mailing address
7910 W JEFFERSON BLVD, SUITE 201, FORT WAYNE, IN 46804-4159
(260) 436-3789
(260) 436-2703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01068480A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01068480A
STATE LICENSE
IN
Enumeration date
06/18/2007
Last updated
07/14/2010
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