Kluppel, Shannon Eugene Keith

Kluppel, Shannon Eugene Keith is an sole proprietor health care provider with primary practice located at 1000 E James St , Baytown TX 77520-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kluppel, Shannon Eugene Keith can be contacted via phone (281) 422-5437.

Contact Information

Primary practice address
1000 E James St Baytown TX 77520-5820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G8219 Texas

Profile Details

NPI number 1417062639
LBN Legal business name Kluppel, Shannon Eugene Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417062639 NPPES
Texas MEDICAID 114472701

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