Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | OS004863L | PA |
Y | 208600000X | Surgeon | OS004863L | PA |
NPI | 1003844499 |
---|---|
Provider Name | William L. Kliefoth |
First Address | Philadelphia, PA 19178-6335 |
Second Address | Langhorne, PA 19047-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 24/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010614860003 | (05) | PA |
0010614860004 | (05) | PA |
0010614860005 | (05) | PA |
0010614860006 | (05) | PA |
0052070000 | KEYSTONE, IBC (01) | PA |
01061486-03 | AMERICHOICE (01) | PA |
020054401 | RAILROAD MEDICARE (01) | PA |
07336 | HEALTH PARTNERS (01) | PA |
1286446 | CIGNA (01) | PA |
1324152 | FIRST HEALTH (01) | PA |
136219 | HIGHMARK BLUE SHIELD (01) | PA |
136219 | PERSONAL CHOICE (01) | PA |
1382157 | PHCS (01) | PA |
20045124 | AMERIHEALTH (01) | PA |
30003803 | KEYSTONE MERCY (01) | PA |
3109104 | AETNA HMO (01) | PA |
770065 | UNITED HEALTHCARE (01) | PA |
C31353 | (02) | PA |