Individual
KENNETH L KLEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5484
(608) 362-0417
Mailing address
3005 RIVERSIDE DR, SUITE 206, BELOIT, WI 53511-1500
(608) 362-7444
(608) 362-0417
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34343
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31946800
—
WI
01
—
555027
DEAN CARE HMO
WI
Enumeration date
09/30/2005
Last updated
07/08/2007
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