Doctor Name: | ANDREW L KLEIN |
NPI Number: | 1154755700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM |
License Number: | CNIM-1598 |
Business Practice Address: | 617 Holly Ct Dunedin, FL - 346987732 |
Business Phone Number: | 8503226794 |
Business Fax Number: | |
Mailing Address: | 617 Holly Ct, DUNEDIN |
State: | FL |
Postal Code: | 346987732 |
Phone Number: | 8503226794 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | CNIM-1598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |