Kevin K Klein, NP | |
1300 South Drive, Winnebago, WI 54985-0009 | |
(920) 235-4910 | |
(920) 237-2043 |
Full Name | Kevin K Klein |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1300 South Drive, Winnebago, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417189135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 151309 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 151309 (Wisconsin) | Primary |
Entity Name | State Of Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437253648 PECOS PAC ID: 9234181751 Enrollment ID: O20050214000153 |
Entity Name | Gjb Health Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659711687 PECOS PAC ID: 5496068405 Enrollment ID: O20150721000083 |
Mailing Address | Practice Location Address |
---|---|
Kevin K Klein, NP 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 | Kevin K Klein, NP 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Kevin Paul Pittenger, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4030 Treffert Dr., Winnebago, WI 54901 Phone: 920-235-4910 | |
Michelle Kaye Burton, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 16, Winnebago, WI 54985 Phone: 920-426-4310 | |
Jeremiah Mobisa Gwaro, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1505 North Drive, Winnebago, WI 54985 Phone: 920-426-4310 | |
Dr. Kimberly K Walker-daniels, DNP-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 715-204-4260 | |
Lisa Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 16, Winnebago, WI 54985 Phone: 920-426-4310 | |
Charlene A Cain, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 |