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Individual

DR. JAN C KLETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 E 4TH AVE STE C, RANSON, WV 25438-1617
(304) 725-6343
(304) 725-8808
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20334
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2000033000
WV
Enumeration date
12/18/2006
Last updated
01/08/2015
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