Klein, Shelly Fay

Klein, Shelly Fay is an individual health care provider with primary practice located at 7875 E Florentine Rd Suite A, Prescott Valley AZ 86314-2284. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Klein, Shelly Fay can be contacted via phone (928) 443-5599.

Contact Information

Primary practice address
7875 E Florentine Rd Suite A Prescott Valley AZ 86314-2284
Phone: (928) 443-5599
Fax: (928) 443-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27484 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20245 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34376 Colorado

Profile Details

NPI number 1659449411
LBN Legal business name Klein, Shelly Fay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 3rd, 2011 - about 15 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 1659449411 NPPES
Arizona MEDICAID 468307

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