Healthcare Provider Details

I. General information

NPI: 1285645861
Provider Name (Legal Business Name): STEVEN MICHAEL KLEINHENZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6438 WILMINGTON PIKE SUITE 220
DAYTON OH
45459-7022
US

IV. Provider business mailing address

6438 WILMINGTON PIKE STE 220
CENTERVILLE OH
45459-7021
US

V. Phone/Fax

Practice location:
  • Phone: 937-433-1336
  • Fax: 937-433-1340
Mailing address:
  • Phone: 937-433-5309
  • Fax: 937-433-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35-04-8007K
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: