Provider Demographics
NPI:1689692667
Name:KLEINER, RONALD DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DALE
Last Name:KLEINER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1406
Mailing Address - Country:US
Mailing Address - Phone:785-233-6190
Mailing Address - Fax:
Practice Address - Street 1:2020 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1406
Practice Address - Country:US
Practice Address - Phone:785-233-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS007242OtherBLUE CROSS BLUE SHIELD
KS007242OtherBLUE CROSS BLUE SHIELD
KS007242Medicare ID - Type Unspecified