MEDICARE: CARA CHRISTINE KLEIN DNP

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	363LF0000X	Family Nurse Practitioner	4704276170	MI

General Provider Information

NPI Number	:	1376066605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA CHRISTINE KLEIN DNP

Provider Business Mailing Address
First Line	:	1969 E CENTRE AVE
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49002-4488
Country	:	US
Telephone Number	:	906-440-4154
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 W CHICAGO RD
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-8400
Country	:	US
Telephone Number	:	517-924-1444
Fax Number	:

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

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	11/27/2023

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