Provider Demographics
NPI:1891766846
Name:KLEINPETER, KYLE (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:
Last Name:KLEINPETER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3478 CATCLAW DR # 242
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8224
Mailing Address - Country:US
Mailing Address - Phone:325-260-6990
Mailing Address - Fax:325-260-6990
Practice Address - Street 1:3478 CATCLAW DR # 242
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8224
Practice Address - Country:US
Practice Address - Phone:325-260-6990
Practice Address - Fax:325-260-6990
Is Sole Proprietor?:No
Enumeration Date:2006-01-29
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1911207L00000X
TN1577207L00000X
FLOS8067207L00000X
KY02880207L00000X
IL036-112834207L00000X
GA055856207L00000X
MO2005003642207L00000X
ALDO-912207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H46983Medicare UPIN