| Doctor Name: | MARILYN JEAN KLEIN |
| NPI Number: | 1023018017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPC |
| License Number: | UT2229454405 |
| Business Practice Address: | 1670 Bonanza Dr Park City, UT - 840607205 |
| Business Phone Number: | 4356495989 |
| Business Fax Number: | 4356495991 |
| Mailing Address: | 14 Westwood Rd, PARK CITY |
| State: | UT |
| Postal Code: | 840984901 |
| Phone Number: | 4356492989 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | UT2229454405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |