Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD031025E | PA |
Y | 207RI0011X | Interventional Cardiology | MD031025E | PA |
NPI | 1013970185 |
---|---|
Provider Name | Dr. Paul C Kleist |
First Address | Monroeville, PA 15146-2141 |
Second Address | Monroeville, PA 15146-2141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 29/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011169690008 | (05) | PA |
2745677 | (05) | OH |
3810008252 | (05) | WV |
B34838 | (02) | PA |