Dr. Jonathan L Klein, M.D.
Pathology, Hematology in Maryville, TN. Individual provider (NPI-1).
NPI number1114239308
StatusActive
Last updated in NPPESOct 10, 2012
Details
- NPI
- 1114239308
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan L Klein
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2010
- Last updated
- Oct 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZH0000X | Pathology, Hematology | 2010003222 | MO | Yes |
| 207ZP0101X | Pathology, Anatomic Pathology | 2010003222 | MO | |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | 2010003222 | MO | |
| 207ZP0007X | Pathology, Molecular Genetic Pathology | 487634 | TN |
Practice location
250 E Broadway AveMaryville, TN 37804-5782
Phone 865-380-9746
Mailing address
250 E Broadway AveMaryville, TN 37804-5782
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