Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DR.0064038 | CO |
NPI | 1760481519 |
---|---|
Provider Name | Tammron Jay Kleeman |
First Address | Aurora, CO 80042-0429 |
Second Address | Broomfield, CO 80021-2518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 09/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H01027 | (02) | CT |