| Doctor Name: | GILBERT JOSE KLOSTER |
| NPI Number: | 1306146774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 19964 |
| Business Practice Address: | 1301 Shiloh Rd Nw Ste 1611 Kennesaw, GA - 301447147 |
| Business Phone Number: | 7708049479 |
| Business Fax Number: | 8777959149 |
| Mailing Address: | 1301 Shiloh Rd Nw, Ste 1611 KENNESAW |
| State: | GA |
| Postal Code: | 301447147 |
| Phone Number: | 7708049479 |
| Fax Number: | 8777959149 |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 02/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |