Kleist, Kenneth D.

Kleist, Kenneth D. is an individual health care provider with primary practice located at 1970 S Ridge Rd , Green Bay WI 54304-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kleist, Kenneth D. can be contacted via phone (920) 430-4888.

Contact Information

Primary practice address
1970 S Ridge Rd Green Bay WI 54304-4125
Phone: (920) 430-4888
Fax: (920) 430-4889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 54913-20 Wisconsin

Profile Details

NPI number 1528047826
LBN Legal business name Kleist, Kenneth D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 7th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528047826 NPPES
Wisconsin Other 450030707 MEDICARE PTAN
Wisconsin Other 711290105 MEDICARE PTAN

Popular Providers