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NPI Code Detail

MEDICARE: MORGAN BLUE KLEIN MD

MEDICARE: MORGAN BLUE 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
1208000000XPediatrics Physician1861051484OH
2207R00000XInternal Medicine Physician1861051484OH

General Provider Information

NPI Number : 1861051484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN BLUE KLEIN MD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR # ED277
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1405 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1043
Country : US
Telephone Number : 614-355-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2019
Last Update Date : 06/26/2024

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