Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 225626 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 232413 | MA |
NPI | 1154442283 |
---|---|
Provider Name | Linda Kleeman |
First Address | Beverly, MA 01915-5900 |
Second Address | Beverly, MA 01915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 17/09/2019 |