Provider Demographics
NPI:1487966842
Name:KLEIN, GUY (DO)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 CANTERWOOD BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-5818
Mailing Address - Country:US
Mailing Address - Phone:253-530-2663
Mailing Address - Fax:253-530-2675
Practice Address - Street 1:11511 CANTERWOOD BLVD STE 205
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-5818
Practice Address - Country:US
Practice Address - Phone:253-530-2663
Practice Address - Fax:253-530-2675
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2956207X00000X, 207X00000X
WAOP60953982207X00000X
IDO-1805207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2138142Medicaid
NYJ400307952Medicare PIN