MEDICARE: VICKIE JO 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
1	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	2000145949	MO

General Provider Information

NPI Number	:	1356568679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKIE JO KLEIN

Provider Business Mailing Address
First Line	:	8216 W 143RD TER
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66223-1366
Country	:	US
Telephone Number	:	913-851-4755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 MAIN ST
Second Line	:	SUITE 202
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2645
Country	:	US
Telephone Number	:	816-931-3215
Fax Number	:	816-931-3217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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Directions to “ VICKIE JO KLEIN ” Practice Location

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