Provider Demographics
NPI:1245818103
Name:KLEINER, KAREN PATRICIA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:KLEINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 NATALIE COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7807
Mailing Address - Country:US
Mailing Address - Phone:704-966-1232
Mailing Address - Fax:
Practice Address - Street 1:7919 NATALIE COMMONS DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7807
Practice Address - Country:US
Practice Address - Phone:704-966-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date: