Individual
KENNETH KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-4121
Mailing address
1843 MICHIGAN ST, STURGEON BAY, WI 54235-1007
(920) 746-0090
(920) 746-1072
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30116700
—
WI
Enumeration date
06/09/2006
Last updated
05/09/2024
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