Provider Demographics
NPI:1386731388
Name:KLOIBER, TIMOTHY JOEL (DO)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOEL
Last Name:KLOIBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6505 NW SUMAC LN
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3045
Mailing Address - Country:US
Mailing Address - Phone:816-741-1800
Mailing Address - Fax:816-741-2999
Practice Address - Street 1:6505 NW SUMAC LN
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3045
Practice Address - Country:US
Practice Address - Phone:816-741-1800
Practice Address - Fax:816-741-2999
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-19473207Q00000X, 2083P0500X
MOR4B86207Q00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine