Individual
CYNTHIA L KLEIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
745 W STATE ST, STE 750, COLUMBUS, OH 43222-1515
(614) 224-2281
(614) 221-8869
Mailing address
4577 E JOHNSTOWN RD, GAHANNA, OH 43230-1822
(614) 855-7208
(614) 340-3295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA059043-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000358356
ANTHEM
—
05
—
2561697
—
OH
01
—
29464431001
MEDICAL MUTUAL OF OHIO
—
Enumeration date
04/20/2006
Last updated
07/08/2007
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