Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 57-013092 | OH |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35120395 | OH |
NPI | 1083890883 |
---|---|
Provider Name | Benjamin Patrick Kleinhenz |
First Address | Cincinnati, OH 45247-7961 |
Second Address | Montgomery, OH 45242-5223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2008 |
Last Update Date | 07/09/2021 |