Provider Demographics
NPI:1023382371
Name:KLEYMAN, YELENA (RPH)
Entity Type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:KLEYMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6336 LEETSDALE DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1261
Mailing Address - Country:US
Mailing Address - Phone:303-333-2232
Mailing Address - Fax:303-333-4896
Practice Address - Street 1:6336 LEETSDALE DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1261
Practice Address - Country:US
Practice Address - Phone:303-333-2232
Practice Address - Fax:303-333-4896
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist