Organization Name: | KEVIN S. KLOPFENSTEIN M.D. P.C. |
NPI Number: | 1043355175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN SCOTT KLOPFENSTEIN (OWNER) |
Mailing Address: | 400 S California Ave Parker |
State: | AZ US |
Postal Code: | 853444467 |
Phone Number: | 9286696151 |
Fax Number: | 9286698403 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1932 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |