Individual
DR. MARK A KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 CORPORATE PARK DR, FOREST, VA 24551-2238
(434) 525-6964
(434) 525-4035
Mailing address
PO BOX 2489, FOREST, VA 24551-6489
(434) 382-1139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010239
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010378486
—
VA
01
—
303830
ANTHEM
—
Enumeration date
07/31/2006
Last updated
02/18/2010
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