Klein, Kelly Ruthanne

Klein, Kelly Ruthanne is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Klein, Kelly Ruthanne can be contacted via phone (207) 973-4011.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (207) 973-4011
Fax: (207) 973-4832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M1839 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 018725 Maine

Profile Details

NPI number 1659338010
LBN Legal business name Klein, Kelly Ruthanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659338010 NPPES
Texas MEDICAID 176249401

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