Provider Demographics
NPI:1285805127
Name:ROBERT E. KLEINMAN, MD PC
Entity type:Organization
Organization Name:ROBERT E. KLEINMAN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:KLEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-233-7776
Mailing Address - Street 1:1658 COLE BLVD
Mailing Address - Street 2:BUILDING 6, SUITE 295
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3304
Mailing Address - Country:US
Mailing Address - Phone:303-233-7776
Mailing Address - Fax:303-233-2294
Practice Address - Street 1:1658 COLE BLVD
Practice Address - Street 2:BUILDING 6, SUITE 295
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3304
Practice Address - Country:US
Practice Address - Phone:303-233-7776
Practice Address - Fax:303-233-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20204103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1871679050OtherNPI
CO1871679050OtherNPI