Provider Demographics
NPI:1629522214
Name:KLEINIGGER, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:KLEINIGGER
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 1:8057 GRACE FARM RD
Mailing Address - Street 2:
Mailing Address - City:LESLIE
Mailing Address - State:MO
Mailing Address - Zip Code:63056-2005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8057 GRACE FARM RD
Practice Address - Street 2:
Practice Address - City:LESLIE
Practice Address - State:MO
Practice Address - Zip Code:63056-2005
Practice Address - Country:US
Practice Address - Phone:573-457-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007008748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine