Individual
DR. LOUIS E. KLEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 CARLANNA LAKE RD, SUITE 201, KETCHIKAN, AK 99901-5613
(907) 228-7611
(907) 247-3306
Mailing address
212 CARLANNA LAKE RD, SUITE 201, KETCHIKAN, AK 99901-5613
(907) 228-7611
(907) 247-3306
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5251
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025334000
—
NE
01
—
13222
STATE MEDICAL LICENSE #
NE
01
—
31763
BCBSNE PPO
NE
01
—
5251
MEDICAL LICENSE #
AK
05
—
6520210
—
SD
01
—
8556
MIDLANDS CHOICE GROUP
NE
05
—
91174982300
—
NE
05
—
91174982301
—
NE
05
—
MD5055
—
AK
Enumeration date
12/13/2006
Last updated
03/07/2023
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