Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 39813 | CO |
NPI | 1003861261 |
---|---|
Provider Name | Dr. Ann T Klein |
First Address | Denver, CO 80237-1141 |
Second Address | Greenwood Village, CO 80111-2146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 01/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012932 | KAISER COMMERCIAL NUMBER (01) | CO |
82379033 | (05) | CO |
H07814 | (02) | CO |