Individual
ERNEST BOBBY KLEIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 WEST MAIN STREET, WAVERLY, TN 37185-1510
(931) 296-9830
(931) 296-7350
Mailing address
209 WEST MAIN STREET, WAVERLY, TN 37185-1510
(931) 296-9830
(931) 296-7350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9046
TN
208600000X
Surgery Physician
MDR3L21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183707
—
TN
01
—
4027561
BCBS SURGERY
TN
01
—
4080719
BCBS PRIMARY CARE
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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