MEDICARE: MRS. KHANA KLEYN

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	101YM0800X	Mental Health Counselor	0	NY

General Provider Information

NPI Number	:	1447816848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KHANA KLEYN

Provider Business Mailing Address
First Line	:	1284 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5404
Country	:	US
Telephone Number	:	720-300-2513
Fax Number	:

Provider Business Practice Location Address
First Line	:	1284 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5404
Country	:	US
Telephone Number	:	720-300-2513
Fax Number	:

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	07/12/2023

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Directions to “ MRS. KHANA KLEYN ” Practice Location

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