| Ian D Kleinhen Md Pllc | |
|
74 Mack St Ste 1 Windsor CT 06095-2759 | |
| (860) 580-7071 | |
| (860) 298-0279 |
| Full Name | Ian D Kleinhen Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 74 Mack St Ste 1, Windsor, Connecticut |
| Authorized Official Name and Position | Ian D. Kleinhen (PHYSICIAN / OWNER) |
| Authorized Official Contact | 8605807071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian D Kleinhen Md Pllc 74 Mack St Ste 1 Windsor CT 06095-2759 Ph: (860) 580-7071 | Ian D Kleinhen Md Pllc 74 Mack St Ste 1 Windsor CT 06095-2759 Ph: (860) 580-7071 |
| NPI Number | 1669939369 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 03/12/2019 |
| Medicare PECOS PAC ID | 8325380363 |
|---|---|
| Medicare Enrollment ID | O20190423002812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669939369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ian D Kleinhen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013916808 PECOS PAC ID: 2062433774 Enrollment ID: I20051209000199 |
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