MEDICARE: HARRY E KLEINER DO

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	207P00000X	Emergency Medicine Physician	115966	MO
2	207P00000X	Emergency Medicine Physician	530128	KS
3	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	DO28622	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467436691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY E KLEINER DO

Provider Business Mailing Address
First Line	:	PO BOX 838
Second Line	:
City	:	SHAWNEE MISSION
State	:	KS
Zip	:	66201-0838
Country	:	US
Telephone Number	:	913-469-4244
Fax Number	:	913-469-1939

Provider Business Practice Location Address
First Line	:	1509 W TRUMAN RD
Second Line	:	EMERGENCY DEPARTMENT
City	:	INDEPENDENCE
State	:	MO
Zip	:	64050-3436
Country	:	US
Telephone Number	:	913-469-4244
Fax Number	:	913-469-1939

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	11/30/2009

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Directions to “ HARRY E KLEINER DO” Practice Location

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