Kleinmann, Taijha R

Kleinmann, Taijha R is an sole proprietor health care provider with primary practice located at 14949 N Us Highway 25 E Ste. 6, Corbin KY 40701-6285. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kleinmann, Taijha R can be contacted via phone (606) 528-2160.

Contact Information

Primary practice address
14949 N Us Highway 25 E Ste. 6 Corbin KY 40701-6285
Phone: (606) 528-2160
Fax: (606) 528-2162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2062 Kentucky

Profile Details

NPI number 1467824623
LBN Legal business name Kleinmann, Taijha R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Mar 30th, 2016 - about 9 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 1467824623 NPPES
Kentucky Other P01559923 RR MEDICARE
Kentucky MEDICAID 7100388950 RR MEDICARE

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