Individual
CHRISTOPHER SCOTT KLEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 COPPERFIELD LN, TIPP CITY, OH 45371-8809
(937) 684-3569
Mailing address
1034 COPPERFIELD LN, TIPP CITY, OH 45371-8809
(937) 684-3569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35095788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073865
—
OH
Enumeration date
05/14/2007
Last updated
01/15/2018
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