Provider Demographics
NPI:1447306204
Name:KLEINMAN, ALAN J
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3099 BRECKENRIDGE LN
Mailing Address - Street 2:#103
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-2120
Mailing Address - Country:US
Mailing Address - Phone:502-452-1301
Mailing Address - Fax:502-452-1330
Practice Address - Street 1:3099 BRECKENRIDGE LN
Practice Address - Street 2:#103
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-2120
Practice Address - Country:US
Practice Address - Phone:502-452-1301
Practice Address - Fax:502-452-1330
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies