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NPI Code Detail

MEDICARE: ELIZABETH ANNE KLEINER MD

MEDICARE: ELIZABETH ANNE KLEINER 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 Physician0101235640VA
2207RI0200XInfectious Disease Physician47699CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891713731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE KLEINER MD
Provider Business Mailing Address
First Line : 3230 E WOODMEN RD STE 210
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-8502
Country : US
Telephone Number : 719-578-5176
Fax Number : 719-578-5188
Provider Business Practice Location Address
First Line : 3230 E WOODMEN RD STE 210
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-8502
Country : US
Telephone Number : 719-578-5176
Fax Number : 719-578-5188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/11/2013

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