Provider Demographics
NPI:1245236579
Name:KLEIN, ARTHUR SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:SCOTT
Last Name:KLEIN
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 1:4123 KIRKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-6851
Mailing Address - Country:US
Mailing Address - Phone:608-769-3735
Mailing Address - Fax:
Practice Address - Street 1:4123 KIRKSTONE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-6851
Practice Address - Country:US
Practice Address - Phone:608-769-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI24957208800000X
IA26305208800000X
TN0000055272208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30469400Medicaid
B54177Medicare UPIN
WI30469400Medicaid