Individual
SHELLY FAYE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1672 OAKLAWN DR., PRESCOTT, AZ 86305
(928) 445-5339
(928) 445-3644
Mailing address
1672 OAKLAWN DR., PRESCOTT, AZ 86305
(928) 445-5339
(928) 445-3644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20245
NE
208000000X
Pediatrics Physician
Primary
27484
AZ
208000000X
Pediatrics Physician
34376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468307
—
AZ
Enumeration date
12/01/2006
Last updated
10/29/2024
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