Provider Demographics
NPI:1003861261
Name:KLEIN, ANN T (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:T
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:3965 S JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1141
Mailing Address - Country:US
Mailing Address - Phone:303-807-0648
Mailing Address - Fax:
Practice Address - Street 1:7447 E BERRY AVE
Practice Address - Street 2:250
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2146
Practice Address - Country:US
Practice Address - Phone:303-770-4227
Practice Address - Fax:303-770-4231
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39813207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82379033Medicaid
CO012932OtherKAISER COMMERCIAL NUMBER
CO359416YK5YMedicare PIN
CO012932OtherKAISER COMMERCIAL NUMBER