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1215992490

NPI Code Detail

MEDICARE: DR. BETTY R KLEIN MD

MEDICARE: DR. BETTY R KLEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD2021-0814	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1V2767	OTHER	NM	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215992490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTY R KLEIN MD

Provider Business Mailing Address
First Line	:	8801 HORIZON BLVD NE STE 360
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1563
Country	:	US
Telephone Number	:	505-828-4923
Fax Number	:	505-213-0103

Provider Business Practice Location Address
First Line	:	2947 RODEO PARK DR E
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-6303
Country	:	US
Telephone Number	:	505-983-6613
Fax Number	:	505-986-9984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/22/2024

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Directions to “ DR. BETTY R KLEIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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