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NPI Code Detail

MEDICARE: DR. NATHAN BRADLEY KLEIN DDS

MEDICARE:  DR. NATHAN BRADLEY KLEIN  DDS
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
11223G0001XGeneral Practice Dentistry2004013248MO

General Provider Information

NPI Number : 1477559714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN BRADLEY KLEIN DDS
Provider Business Mailing Address
First Line : 7611 STATE LINE RD STE 140
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-6801
Country : US
Telephone Number : 816-822-1800
Fax Number :
Provider Business Practice Location Address
First Line : 7611 STATE LINE RD STE 140
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-6801
Country : US
Telephone Number : 816-822-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/20/2021

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Directions to “ DR. NATHAN BRADLEY KLEIN DDS” Practice Location

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