MEDICARE: KLEEMAN FAMILY MEDICINE LLC

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	207Q00000X	Family Medicine Physician	01061167A	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1992123541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLEEMAN FAMILY MEDICINE LLC

Provider Business Mailing Address
First Line	:	8475 DAUBY LN
Second Line	:
City	:	TELL CITY
State	:	IN
Zip	:	47586-8346
Country	:	US
Telephone Number	:	812-547-0475
Fax Number	:	812-547-1300

Provider Business Practice Location Address
First Line	:	8475 DAUBY LN
Second Line	:
City	:	TELL CITY
State	:	IN
Zip	:	47586-8346
Country	:	US
Telephone Number	:	812-547-0475
Fax Number	:	812-547-1300

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC F KLEEMAN
Credential	:	MD
Telephone Number	:	812-547-0475

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	09/24/2025

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