Doctor Name: | MRS. NOMIGLY KLEIN |
NPI Number: | 1366614737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA052670 |
Business Practice Address: | 1100 Meade Street Dunmore, PA - 185123169 |
Business Phone Number: | 5703423675 |
Business Fax Number: | 5703423316 |
Mailing Address: | 1100 Meade Street, DUNMORE |
State: | PA |
Postal Code: | 185123169 |
Phone Number: | 5703423675 |
Fax Number: | 5703423316 |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA052670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |