Nelva Jean Kleinhesselink, MA
Individual provider Active NPI Specialist · Sumas, WA
NPI 1104177609 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1104177609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 303067C (WA)
- Practice address
- 1024 Lawson St
Sumas, WA 98295-9108 - Phone
- (360) 988-9423
- Fax
- (360) 988-0505
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303067C | WA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 303067C | WA | Yes |
Addresses
Primary practice location
1024 Lawson St
Sumas, WA 98295-9108
Mailing address
1024 Lawson St
Sumas, WA 98295-9108
Phone (360) 988-9423
Other names
- Mrs. Jean Klein
Other providers in Sumas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.