| Kleeman Family Medicine Llc | |
|
421 7th St Tell City IN 47586-2202 | |
| (812) 547-9663 | |
| (812) 547-1300 |
| Full Name | Kleeman Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 421 7th St, Tell City, Indiana |
| Authorized Official Name and Position | Pam Austin (INS CLERK) |
| Authorized Official Contact | 8125479663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kleeman Family Medicine Llc 421 7th St Tell City IN 47586-2202 Ph: (812) 547-9663 | Kleeman Family Medicine Llc 421 7th St Tell City IN 47586-2202 Ph: (812) 547-9663 |
| NPI Number | 1992123541 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 7315170560 |
|---|---|
| Medicare Enrollment ID | O20140424000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992123541 | NPI | - | NPPES |
| 200538280A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01061167A (Indiana) | Primary |
| Provider Name | Eric F Kleeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063517308 PECOS PAC ID: 2163441080 Enrollment ID: I20051121000061 |
| Provider Name | Kandi Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763079 PECOS PAC ID: 6709215809 Enrollment ID: I20200409003055 |
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