Individual
DR. KARL JURGEN KLEINAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1165
SC
152W00000X
Optometrist
Primary
1392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905R
BCBS OF NORTH CAROLINA
NC
01
—
20096067
SELECT HEALTH OF SC
SC
01
—
2241738
UNITED HEALTHCARE
NC
01
—
5107023
AETNA
NC
05
—
890905R
—
NC
05
—
DN1392
—
SC
01
—
NC1392
EYEMED
NC
Enumeration date
06/15/2005
Last updated
01/29/2010
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