Individual
BRADLEY CHRISTOPHER KLEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12701 US 70W BUSINESS, CLAYTON, NC 27520-2195
(919) 235-1968
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13952
NC
363AM0700X
Medical Physician Assistant
Primary
0010-13952
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952035909
—
NC
Enumeration date
07/14/2022
Last updated
10/29/2024
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