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Individual

JENNIFER S KLEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436
Mailing address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
06-07 AP PL
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06090017400
QUALCHOICE
AR
01
P00361483
RAILROAD MEDICARE
AR
Enumeration date
10/11/2006
Last updated
07/08/2007
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