Individual
DANIEL THOMAS KLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, BA-2571D, AUGUSTA, GA 30912-0004
(706) 721-8166
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
66132
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
66132
GA
Other
Enumeration date
05/07/2007
Last updated
11/30/2012
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