MEDICARE: KRISTEN LEA KLEIN

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
1	124Q00000X	Dental Hygienist	2013018048	MO

General Provider Information

NPI Number	:	1972467850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN LEA KLEIN

Provider Business Mailing Address
First Line	:	1802 GREEN OAK PASS
Second Line	:
City	:	TIFFIN
State	:	IA
Zip	:	52340-9102
Country	:	US
Telephone Number	:	319-358-4825
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 S CLINTON ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4105
Country	:	US
Telephone Number	:	319-358-4240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ KRISTEN LEA KLEIN ” Practice Location

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