Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 100234 | IA |
NPI | 1033734322 |
---|---|
Provider Name | Ashley Klein |
First Address | Centerville, IA 52544-1117 |
Second Address | Centerville, IA 52544-1117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2020 |
Last Update Date | 11/06/2020 |