KEVIN K KLEIN (NPI# 1417189135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417189135 |
| Entity Type | Individual |
| Full Name | KEVIN K KLEIN |
| Credential | NP |
| Practice Address |
1300 South Drive Winnebago WI 54985-0009 |
| Practice Telephone | 9202354910 |
| Practice Fax Number | 9202372043 |
| Mailing Telephone | 9202354910 |
| Mailing Fax Number | 9202372043 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 151309 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
151309 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856126 | Kevin H Klein | Pharmacist | 5129 Cypress Palms Ln, Tampa, FL 33647-5048 | 2017-08-11 |
| 1144325143 | Kevin D Klein | Physical Therapist | 5848 Snyder Dr, Lockport, NY 14094-9497 | 2006-09-14 |
| 1124034244 | Kevin B Klein | Dentist | 70 East 91st, 103, Indianapolis, IN 46240-1550 | 2006-07-31 |
| 1386633279 | Kevin L Klein | Internal Medicine | 13601 Bruce B. Downs Blvd., Suite 160, Tampa, FL 33613 | 2005-10-14 |
| 1003426453 | Kevin Scott Klein | Counselor | 2116 Arlington Ave Ste 100, Los Angeles, CA 90018-1353 | 2020-07-31 |
| 1639222110 | Kevin L Klein | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-01-19 |
| 1124120431 | Kevin G Klein | Family Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2006-09-05 |
| 1336199793 | Kevin Klein | Psychiatry & Neurology | 202 E Grover St, Ste 1, Shelby, NC 28150-3977 | 2006-05-10 |
| 1780646562 | Kevin Wayne Klein | Anesthesiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| 1558354365 | Kevin Klein | Family Medicine | 32901 23 Mile Rd, Suite 100, Chesterfield, MI 48047-4063 | 2005-08-26 |
| Street Address |
1300 SOUTH DRIVE |
| City | WINNEBAGO |
| State | WI |
| Zip Code | 54985-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702383 | Louis M Fulton | Psychiatry & Neurology | 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985-0009 | 2005-10-01 |
| 1225320005 | Konstantin A Mikheyev | Family Medicine | 1300 South Drive, Winnebago, WI 54985-0009 | 2011-05-11 |
| 1992028948 | Kaye Zwiacher | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2010-03-04 |
| 1669627089 | Anthony M Lichtfuss | Social Worker | 1300 South Drive, Winnebago, WI 54985 | 2008-11-26 |
| 1598984346 | Kayla M Pope | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-04-24 |
| 1962626317 | Kent M Berney | Psychologist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-04-13 |
| 1255451688 | Clifford K Stephens | Psychologist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-30 |
| 1669505996 | Margaret Lehnert | Dentist | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-03-14 |
| 1750425328 | Michele A. Andrade | Psychiatry & Neurology | 1300 South Drive, Winnebago, WI 54985 | 2007-02-16 |
| 1952455800 | Jeremiah Lee Olson | Counselor | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315538 | Emerald M Hauser | Student in an Organized Health Care Education/Training Program | 1300 South Treffert Drive, Winnebago, WI 54985 | 2008-07-29 |
| 1427231828 | Carlo Gallo Gaanan | Family Medicine | 1505 North Drive, Winnebago, WI 54985 | 2007-12-10 |
| 1588781488 | Paul J Barfknecht | Pharmacist | 1300 South Dr, Winnebago, WI 54985 | 2007-03-23 |
| 1265924161 | Jeremiah Mobisa Gwaro | Nurse Practitioner | 1505 North Drive, Winnebago, WI 54985 | 2018-06-06 |
| 1932630985 | Thomas Michlowski | Psychiatry & Neurology | 1505 North Drive, Winnebago, WI 54985 | 2017-03-22 |
| 1295094571 | Julie Ann Thiel | Pharmacist | 1505 North Drive, Winnebago, WI 54985 | 2012-05-08 |
| 1124270947 | Adam Matthew Berman | Psychologist | 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 | 2008-10-13 |
| 1225214802 | Dara B. Sitter | Pharmacist | 1300 South Dr., Winnebago, WI 54985 | 2008-01-14 |
| 1083825608 | Kelly Lee Straus-diedrick | Physical Therapist | 725 Butler Ave, Winnebago, WI 54985 | 2007-05-25 |
| 1093864993 | Byron J Krause | Speech-Language Pathologist | 725 Butler Ave, Oshkosh, WI 54985 | 2007-01-09 |
| Find all providers in zip 54985 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.