Provider Demographics
NPI:1346555117
Name:KLENE, FRANCIS JAMES (PT)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JAMES
Last Name:KLENE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:KLENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1550 W. 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2717
Mailing Address - Country:US
Mailing Address - Phone:317-407-8109
Mailing Address - Fax:317-580-0107
Practice Address - Street 1:1550 W. 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2717
Practice Address - Country:US
Practice Address - Phone:317-407-8109
Practice Address - Fax:317-580-0107
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010408A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM155585004Medicare PIN