Healthcare Provider Details

I. General information

NPI: 1780964312
Provider Name (Legal Business Name): ALAN STEVEN KLEIN M.D., FAAP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 S VALENTIA ST 102
DENVER CO
80247-6812
US

IV. Provider business mailing address

1011 S VALENTIA ST 102
DENVER CO
80247-6812
US

V. Phone/Fax

Practice location:
  • Phone: 303-257-5026
  • Fax:
Mailing address:
  • Phone: 303-257-5026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: