Individual
DR. MARY Y KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 E US HIGHWAY 6 STE 200, VALPARAISO, IN 46383
(219) 983-6260
(219) 983-6010
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01034294
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091408
BCBS PROVIDER NUMBER
IN
05
—
100209090
—
IN
01
—
110119928
TRAVELERS MCR PROVDIER #
IN
Enumeration date
07/20/2005
Last updated
09/11/2020
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