Organization
KLAIN, HEASLEY, NETTLETON MD PC
Active
Parent organization
MEDVANTX, INC.
Other names
MATTHEW N KLAIN MD-INDIANA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1508
Entity
Organization
Contact information
Practice address
1265 WAYNE AVE STE 102, INDIANA, PA 15701-3578
(724) 349-4411
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD422459
PA
Other
Enumeration date
11/05/2012
Last updated
09/02/2025
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