Provider Demographics
NPI:1962690057
Name:KLEEMAN, KAREN EVE (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:EVE
Last Name:KLEEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-2907
Mailing Address - Country:US
Mailing Address - Phone:310-394-4772
Mailing Address - Fax:310-458-4112
Practice Address - Street 1:531 12TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-2907
Practice Address - Country:US
Practice Address - Phone:310-394-4772
Practice Address - Fax:310-458-4112
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG443842084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine