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NPI Code Detail

MEDICARE: DR. MARK A KLEINER MD

MEDICARE: DR. MARK A 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
1207Q00000XFamily Medicine Physician0420010239VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1303830OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982610184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A KLEINER MD
Provider Business Mailing Address
First Line : PO BOX 2489
Second Line :
City : FOREST
State : VA
Zip : 24551-6489
Country : US
Telephone Number : 434-382-1139
Fax Number :
Provider Business Practice Location Address
First Line : 1175 CORPORATE PARK DR
Second Line :
City : FOREST
State : VA
Zip : 24551-2238
Country : US
Telephone Number : 434-525-6964
Fax Number : 434-525-4035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/18/2010

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Directions to “ DR. MARK A KLEINER MD” Practice Location

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