Individual
EDWARD H KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6426
Mailing address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
76-209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015297
—
NM
01
—
10008298
LOVELACE
—
01
—
1699559
UHC
—
01
—
201005308
PRESBYTERIAN HEALTH PLANS
—
01
—
5064209
CCN
—
01
—
NM001515
BCBS NM
NM
01
—
PROVP13467
MOLINA
—
Enumeration date
03/09/2006
Last updated
11/08/2011
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