Provider Demographics
NPI:1144229758
Name:KLEIN, JEFFREY LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LAWRENCE
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:UNC - DIVISION OF CARDIOLOGY 6040 BURNETT-WOMACK 6TH FL
Mailing Address - Street 2:099 MANNING DRIVE, CB 7075
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7075
Mailing Address - Country:US
Mailing Address - Phone:919-843-3643
Mailing Address - Fax:919-966-1743
Practice Address - Street 1:UNC - DIVISION OF CARDIOLOGY 6040 BURNETT-WOMACK 6TH FL
Practice Address - Street 2:099 MANNING DRIVE, CB 7075
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7075
Practice Address - Country:US
Practice Address - Phone:919-843-3643
Practice Address - Fax:919-966-1743
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2008-07-11
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200600659207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00389622OtherRAIL ROAD MEDICARE
GA000374239CMedicaid
NC5904804Medicaid
NC5904804Medicaid
GA000374239CMedicaid
NC2061364Medicare PIN