Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2009005448 | MO |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2009005448 | MO |
NPI | 1235331570 |
---|---|
Provider Name | Dr. Brian Daniel Kleiber |
First Address | Columbia, MO 65201-7199 |
Second Address | Columbia, MO 65201-7199 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 24/03/2021 |