Provider Demographics
NPI:1164821385
Name:KLEINFELDER, ARTHUR III (STUDENT INTERN CMHC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:KLEINFELDER
Suffix:III
Gender:M
Credentials:STUDENT INTERN CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 N 1120 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1180
Mailing Address - Country:US
Mailing Address - Phone:801-623-4770
Mailing Address - Fax:
Practice Address - Street 1:1835 NORTH 1120 WEST
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-623-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator