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General NPI Number Information
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NPI Number | 1083076269
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Entity Type | Individual
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Provider Name | KRISTOPHER KEVIN KLEINMAN R.N, N.P
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Gender | Male
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 5550 PAINTED MIRAGE RD STE 217
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City | LAS VEGAS
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State | NV
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Zip | 89149
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Country | US
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Telephone | 702-410-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 11752 VIA ESPERANZA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-6025
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Country | US
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Telephone | 801-792-8012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN82632
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 810017
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License Number State | NV
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