Individual
DR. WALTER KENNETH KLEINSTEUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 RARELY RIDDEN LN, LEBANON, KY 40033-9575
(270) 692-0592
Mailing address
159 RARELY RIDDEN LN, LEBANON, KY 40033-9575
(270) 692-0592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64255664
—
KY
Enumeration date
11/23/2005
Last updated
01/26/2021
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