Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 32751 | NC |
NPI | 1023082013 |
---|---|
Provider Name | Dr. Richard Kleinmann |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28207-1100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7949673 | (05) | NC |
8949673 | (05) | NC |
A72142 | (02) | NC |
N32751 | (05) | SC |