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NPI Code Detail

MEDICARE: JENNIFER ASHLEY KLEIN

MEDICARE:   JENNIFER ASHLEY KLEIN
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
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1235608944
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ASHLEY KLEIN
Provider Business Mailing Address
First Line : 16 HAMILTON DR
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2709
Country : US
Telephone Number : 732-589-2357
Fax Number :
Provider Business Practice Location Address
First Line : 16 HAMILTON DR
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2709
Country : US
Telephone Number : 732-589-2357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 11/26/2018

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Directions to “ JENNIFER ASHLEY KLEIN ” Practice Location

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