Individual
MR. PAUL EDWARD KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 KIOWA AVE STE 104, LAKE HAVASU CITY, AZ 86403
(928) 505-1030
(928) 453-0461
Mailing address
3832 BEAR DR, LAKE HAVASU CITY, AZ 86406-4375
(218) 790-3962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN188709
AZ
363L00000X
Nurse Practitioner
R1337222
MN
363LF0000X
Family Nurse Practitioner
Primary
AP7448
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150132100
—
MN
05
—
1639172901
—
MN
05
—
19795
—
ND
05
—
980120
—
AZ
Enumeration date
05/31/2005
Last updated
06/29/2018
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