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NPI Code Detail

MEDICARE: DAVID KLEIN MD

MEDICARE:   DAVID  KLEIN  MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician335920-1205UT
2207RP1001XPulmonary Disease Physician335920-1205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P00364972OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1107055541101OTHERUTSELECTHEALTH
233592012000001OTHERUTREGENCE BLUE CROSS
391683OTHERUTPEHP
422039OTHERUTUNIVERSITY OF UTAH
5298380OTHERUTALTIUS

General Provider Information

NPI Number : 1124075437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KLEIN MD
Provider Business Mailing Address
First Line : PO BOX 800022
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-0022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 82 S 1100 E STE 200
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-1889
Country : US
Telephone Number : 801-263-2370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 03/11/2024

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Directions to “ DAVID KLEIN MD” Practice Location

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