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NPI Code Detail

MEDICARE: KLENSLY HERNANDEZ

MEDICARE:   KLENSLY  HERNANDEZ
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1356286694
Entity Type Code : Individual
Provider Name (Legal Business Name) : KLENSLY HERNANDEZ
Provider Business Mailing Address
First Line : 325 N MATTESON ST
Second Line :
City : BRONSON
State : MI
Zip : 49028-1125
Country : US
Telephone Number : 269-503-6780
Fax Number :
Provider Business Practice Location Address
First Line : 360 E CHICAGO ST
Second Line :
City : COLDWATER
State : MI
Zip : 49036-2074
Country : US
Telephone Number : 517-774-9911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ KLENSLY HERNANDEZ ” Practice Location

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