Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 350799691 | OH |
Y | 2086S0105X | Surgery of the Hand | 35.079681 | OH |
NPI | 1083667273 |
---|---|
Provider Name | Ryan D Klinefelter |
First Address | Westerville, OH 43081-1397 |
Second Address | Columbus, OH 43212-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 15/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2320910 | (05) | OH |
H60393 | (02) |