Maryanne Kleven, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT-731 Issued in ID

Practice address

500 W Aqua Ave
Coeur D Alene, ID 83815-7764

Phone

(208) 762-1122

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1013184837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 W BORDON CT",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838586496",
            "telephone_number": "208-651-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W AQUA AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157764",
            "telephone_number": "208-762-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVEN",
        "first_name": "MARYANNE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "OT-731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A Kladar, MD
• Rebecca Julianne Klaeui
• Liliya V Klasing, PHARMD
• Mia Kleepsies
• Tanner Joseph Klein, DC
• Eric Klobetanz
• Zane H Kloeckl, PA-C
• Katie Renee' Knapp, CMPCB
• Carl W Knight, RPH
• George F. Knight, M. D.

• Specialist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.