Klein, Lisa Rachelle

Klein, Lisa Rachelle is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202-1713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Klein, Lisa Rachelle can be contacted via phone (502) 588-7450.

Contact Information

Primary practice address
411 E Chestnut St Louisville KY 40202-1713
Phone: (502) 588-7450
Fax: (502) 589-1256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 29111 Kentucky

Profile Details

NPI number 1497751044
LBN Legal business name Klein, Lisa Rachelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 24th, 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 1497751044 NPPES
South Carolina MEDICAID Q01749
South Carolina MEDICAID 100386740A
South Carolina MEDICAID 5910490
South Carolina MEDICAID 64291115

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