Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PTH8521 | AL |
NPI | 1053806059 |
---|---|
Provider Name | Dr. Cody J Klein |
First Address | Birmingham, AL 35242 |
Second Address | Auburn, AL 36830-5730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2018 |
Last Update Date | 22/06/2018 |