Healthcare Provider Details

I. General information

NPI: 1386280246
Provider Name (Legal Business Name): CALVIN JAMES KLINER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 N COLLEGE AVE
FORT COLLINS CO
80524-1323
US

IV. Provider business mailing address

1105 KING DR
LOVELAND CO
80537-8915
US

V. Phone/Fax

Practice location:
  • Phone: 970-494-6950
  • Fax: 970-475-0644
Mailing address:
  • Phone: 970-203-4627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21360
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: