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NPI Code Detail

MEDICARE: MS. KRISTIN LYNN KLEIN PA

MEDICARE: MS. KRISTIN LYNN KLEIN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00184300NJ
2363A00000XPhysician AssistantMA001918LPA

General Provider Information

NPI Number : 1104009273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTIN LYNN KLEIN PA
Provider Business Mailing Address
First Line : 443 LAUREL OAK RD
Second Line : SUITE 130
City : VOORHEES
State : NJ
Zip : 08043-4419
Country : US
Telephone Number : 856-741-0122
Fax Number : 856-741-0121
Provider Business Practice Location Address
First Line : 443 LAUREL OAK RD
Second Line : SUITE 130
City : VOORHEES
State : NJ
Zip : 08043-4419
Country : US
Telephone Number : 856-741-0122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2007
Last Update Date : 06/12/2015

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