Doctor Name: | KARL KLEIN |
NPI Number: | 1992190094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MD0000016156 |
Business Practice Address: | 475 Kinniard Rd Cookeville, TN - 385015845 |
Business Phone Number: | 9312678143 |
Business Fax Number: | |
Mailing Address: | 475 Kinniard Rd, COOKEVILLE |
State: | TN |
Postal Code: | 385015845 |
Phone Number: | 9312678143 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2015 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000016156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |