Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD422500 | PA |
Y | 2086S0105X | Surgery of the Hand | MD422500 | PA |
NPI | 1518926898 |
---|---|
Provider Name | Dr. Joel C. Klena |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-0027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100828250 | (05) | PA |
H95509 | (02) |