Individual
MR. BENJAMIN J KLENNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 296-2395
(304) 413-0055
Mailing address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 777-4044
(304) 292-9578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00944
WV
Other
Enumeration date
11/02/2006
Last updated
02/14/2011
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