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General NPI Number Information
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NPI Number | 1699952135
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Entity Type | Organization
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Legal Business Name | JOHN W KLEMA III PC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 4963 NE GOODVIEW CIR STE B
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2491
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Country | US
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Telephone | 816-795-7100
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Fax | 816-795-7105
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Provider Business Mailing Address
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Address Line | 4963 NE GOODVIEW CIR STE B
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2491
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Country | US
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Telephone | 816-795-7100
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Fax | 816-795-7105
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN W KLEMA III
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Credential | DO
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Telephone | 816-795-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R9142
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License Number State | MO
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