MEDICARE: ALAN J. KLEINMAN

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1447306204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN J. KLEINMAN

Provider Business Mailing Address
First Line	:	3099 BRECKENRIDGE LN
Second Line	:	#103
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-2120
Country	:	US
Telephone Number	:	502-452-1301
Fax Number	:	502-452-1330

Provider Business Practice Location Address
First Line	:	3099 BRECKENRIDGE LN
Second Line	:	#103
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-2120
Country	:	US
Telephone Number	:	502-452-1301
Fax Number	:	502-452-1330

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/24/2007

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