Individual
JOHN RUSSELL KLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.007162RX
OH
363A00000X
Physician Assistant
Primary
50.007162RX
OH
Other
Enumeration date
09/07/2021
Last updated
01/02/2026
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