Klemens, Lee David

Klemens, Lee David is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Klemens, Lee David can be contacted via phone (414) 805-8710.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Fax: (414) 805-1101
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 183006-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 6087-33 Wisconsin

Profile Details

NPI number 1568867232
LBN Legal business name Klemens, Lee David
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Apr 29th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568867232 NPPES
Wisconsin MEDICAID 1568867232

Popular Providers