Provider Demographics
NPI:1043217144
Name:KLEINPETER, HUBERT E (MD)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:E
Last Name:KLEINPETER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-4856
Mailing Address - Country:US
Mailing Address - Phone:337-463-5582
Mailing Address - Fax:337-460-1348
Practice Address - Street 1:206 W 5TH ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4856
Practice Address - Country:US
Practice Address - Phone:337-463-5582
Practice Address - Fax:337-460-1348
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12013207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1140848Medicaid
TX1072142Medicaid
TX1072142Medicaid
LAB64673Medicare UPIN