Provider Demographics
NPI:1477176790
Name:KLETKE, HALEY (MS)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:KLETKE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:FISCHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:280 EXEMPLA CIR
Mailing Address - Street 2:GENETICS/ONCOLOGY
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3370
Mailing Address - Country:US
Mailing Address - Phone:720-340-9806
Mailing Address - Fax:
Practice Address - Street 1:280 EXEMPLA CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3370
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS