Klein, Kenneth L

Klein, Kenneth L is an individual health care provider with primary practice located at 1969 W Hart Rd , Beloit WI 53511-2230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Klein, Kenneth L can be contacted via phone (608) 364-5484.

Contact Information

Primary practice address
1969 W Hart Rd Beloit WI 53511-2230
Phone: (608) 364-5484
Fax: (608) 362-0417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 34343 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X Illinois

Profile Details

NPI number 1881681294
LBN Legal business name Klein, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881681294 NPPES
Wisconsin Other 555027 DEAN CARE HMO
Wisconsin MEDICAID 31946800 DEAN CARE HMO

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