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NPI Code Detail

MEDICARE: DR. THOMAS JACKSON KLEEMAN MD

MEDICARE: DR. THOMAS JACKSON KLEEMAN 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
1207XS0117XOrthopaedic Surgery of the Spine Physician7321NH

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 : 1932191293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JACKSON KLEEMAN MD
Provider Business Mailing Address
First Line : 4 HAWTHORNE DR
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6912
Country : US
Telephone Number : 603-472-8888
Fax Number : 603-472-9090
Provider Business Practice Location Address
First Line : 4 HAWTHORNE DR
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6912
Country : US
Telephone Number : 603-472-8888
Fax Number : 603-472-9090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 10/26/2007

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