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NPI Code Detail

MEDICARE: ALAN BARRY KLEIN MD

MEDICARE: ALAN BARRY 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
1207R00000XInternal Medicine Physician24316KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000063086OTHERBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
318DOG82295OTHERCLIA
42432467001OTHERPASSPORT ADVANTAGE

General Provider Information

NPI Number : 1487745485
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN BARRY KLEIN MD
Provider Business Mailing Address
First Line : 3731 ROUGE WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-1540
Country : US
Telephone Number : 502-807-7129
Fax Number : 866-902-0669
Provider Business Practice Location Address
First Line : 3903 VANTAGE PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6801
Country : US
Telephone Number : 502-356-4377
Fax Number : 888-959-2460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 10/31/2023

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