Provider Demographics
NPI:1740296235
Name:KLEM, CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:KLEM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:PHYSICIANS OFFICE BUILDING #1, SUITE 502
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-691-7215
Mailing Address - Fax:808-691-7214
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:PHYSICIANS OFFICE BUILDING #1, SUITE 502
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-691-7215
Practice Address - Fax:808-691-7214
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060650207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN