Provider Demographics
NPI:1568147452
Name:KLOEN, PETER (MD, PHD)
Entity Type:Individual
Prefix:PROF
First Name:PETER
Middle Name:
Last Name:KLOEN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRINSENGRACHT 815
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NH
Mailing Address - Zip Code:1017KA
Mailing Address - Country:NL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PRINSENGRACHT 815
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NH
Practice Address - Zip Code:1017KA
Practice Address - Country:NL
Practice Address - Phone:212-351-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program