William N Klava, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Fargo, ND
NPI 1174544308 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1174544308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 5066 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2203
- Fax
- (701) 234-2899
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5066 | ND | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5066 | ND | Yes |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2203
Other providers in Fargo, ND
- Michael Craig Kjellerson
- Vicki L Kjos
- Sally Klabo
- Stephanie Klabunde
- Matthew B Klaman
- Kimberly Jo Klayson
- Meagan Jeanann Klefstad
- Theodore W Kleiman
- Madison Mae Klein Mensah
- Jerilyn Ann Klein Wangen
All providers in Fargo, ND · Physical Medicine & Rehabilitation Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. 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.