Individual
DR. KEVIN E KLOSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2067 FAIRPORT NINE MILE PT RD, PENFIELD, NY 14526-1753
(585) 922-0460
(585) 922-0470
Mailing address
2067 FAIRPORT NINE MILE PT RD, PENFIELD, NY 14526-1753
(585) 922-0460
(585) 922-0470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134954
—
NY
Enumeration date
03/09/2006
Last updated
07/08/2007
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