Provider Demographics
NPI:1467436691
Name:KLEINER, HARRY E (DO)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:E
Last Name:KLEINER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 838
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66201-0838
Mailing Address - Country:US
Mailing Address - Phone:913-469-4244
Mailing Address - Fax:913-469-1939
Practice Address - Street 1:1509 W TRUMAN RD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-3436
Practice Address - Country:US
Practice Address - Phone:913-469-4244
Practice Address - Fax:913-469-1939
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115966207P00000X
KS530128207P00000X
ORDO286222083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8531220Medicaid
G39088Medicare UPIN
ORR145039Medicare PIN
WA8531220Medicaid
KS106212Medicare PIN
MOR868789Medicare PIN