Provider Demographics
NPI:1295786101
Name:KLEIN, KAREN N (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:N
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3271 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9458
Mailing Address - Country:US
Mailing Address - Phone:517-437-3879
Mailing Address - Fax:517-437-4053
Practice Address - Street 1:605 W CHICAGO RD STE 2
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-8400
Practice Address - Country:US
Practice Address - Phone:517-924-1444
Practice Address - Fax:517-924-1445
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4332887Medicaid
F23071Medicare UPIN