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NPI Code Detail

MEDICARE: ELENA MARIE KLAUS PA-C

MEDICARE: ELENA MARIE KLAUS PA-C
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
1363A00000XPhysician AssistantPA.0007181CO
2363A00000XPhysician Assistant000000VA

Other Identifiers

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

General Provider Information

NPI Number : 1609317585
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MARIE KLAUS PA-C
Provider Business Mailing Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 252-327-9128
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-981-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2017
Last Update Date : 06/05/2026

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Directions to “ ELENA MARIE KLAUS PA-C” Practice Location

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