1720207582 NPI number — MS. KATHLEEN ESTHER KLEIN P.T.,C.H.T.

Table of content: MS. KATHLEEN ESTHER KLEIN P.T.,C.H.T. (NPI 1720207582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720207582 NPI number — MS. KATHLEEN ESTHER KLEIN P.T.,C.H.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLEIN
Provider First Name:
KATHLEEN
Provider Middle Name:
ESTHER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.,C.H.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SNOUFFER
Provider Other First Name:
KATHLEEN
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720207582
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1161 MCDERMOTT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST CHESTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19380-4064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-356-9401
Provider Business Mailing Address Fax Number:
484-356-9405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1651 PULASKI HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAR
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19701-1453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-258-2714
Provider Business Practice Location Address Fax Number:
410-648-4878
Provider Enumeration Date:
04/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  J1-0002348 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X , with the licence number: PT017738 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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