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Individual

MRS. EMILY MICHELLE KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
721 W 13TH ST, SUITE 325, JASPER, IN 47546-1855
(812) 996-5781
(812) 996-0150
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-5781
(812) 996-0150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003684A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201035170
IN
Enumeration date
09/09/2011
Last updated
11/08/2016
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