Healthcare Provider Details

I. General information

NPI: 1184600520
Provider Name (Legal Business Name): RUTH L. KLEIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 12/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9844 REDHILL DR
BLUE ASH OH
45242-5627
US

IV. Provider business mailing address

14275 MIDWAY RD SUITE 400
ADDISON TX
75001-3614
US

V. Phone/Fax

Practice location:
  • Phone: 513-745-8330
  • Fax: 513-745-0892
Mailing address:
  • Phone: 214-932-8029
  • Fax: 610-271-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35063275K
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number35063275K
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: