Provider Demographics
NPI:1033363585
Name:KLIEWER, GENE ELDON (RN)
Entity Type:Individual
Prefix:MR
First Name:GENE
Middle Name:ELDON
Last Name:KLIEWER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45079 AUBERRY RD
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602-9797
Mailing Address - Country:US
Mailing Address - Phone:559-841-7787
Mailing Address - Fax:559-841-7787
Practice Address - Street 1:45079 AUBERRY RD
Practice Address - Street 2:
Practice Address - City:AUBERRY
Practice Address - State:CA
Practice Address - Zip Code:93602-9797
Practice Address - Country:US
Practice Address - Phone:559-841-7787
Practice Address - Fax:559-841-7787
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390928163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management