Provider Demographics
NPI:1669657045
Name:KLEIN CONSULTING, LLC
Entity Type:Organization
Organization Name:KLEIN CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE, LD
Authorized Official - Phone:270-901-3412
Mailing Address - Street 1:843 FAIRVIEW AVE
Mailing Address - Street 2:SUITE B6
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-4914
Mailing Address - Country:US
Mailing Address - Phone:270-901-3412
Mailing Address - Fax:270-901-3413
Practice Address - Street 1:843 FAIRVIEW AVE
Practice Address - Street 2:SUITE B6
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-4914
Practice Address - Country:US
Practice Address - Phone:270-901-3412
Practice Address - Fax:270-901-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1700133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1568421527OtherINDIVIDUAL NPI-NK
KY1073701884OtherINDIVIDUAL NPI-SW
KY00541Medicare PIN