Healthcare Provider Details

I. General information

NPI: 1023370822
Provider Name (Legal Business Name): AMY KLEIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY SCHMEIDEL

II. Dates (important events)

Enumeration Date: 06/08/2012
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CAMPBELL AVE
TUCSON AZ
85719-1454
US

IV. Provider business mailing address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-2873
  • Fax:
Mailing address:
  • Phone: 520-694-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number55025
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: