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Individual

LISA RACHELLE KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-7450
(502) 589-1256
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-7450
(502) 589-1256

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
29111
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100386740A
IN
05
5910490
NC
05
64291115
KY
05
Q01749
SC
Enumeration date
06/27/2005
Last updated
05/24/2022
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