JOHN KLEBACK MD NPI 1184629255

NPI Information

  • NPI: 1184629255
  • Provider Name: JOHN KLEBACK, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 2510 MARYLAND RD
    SUITE 160
    WILLOW GROVE, PA
    ZIP 19090
  • Phone: (215) 672-6622

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NPI Details

John Kleback, MD is a pediatrics in Willow Grove, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John Kleback, MD NPI is 1184629255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2510 MARYLAND RD
SUITE 160
WILLOW GROVE, PA
ZIP 19090-109
Phone: (215) 672-6622
Fax: (215) 672-6566

The enumeration date for this NPI number is 6/16/2005 and was last updated on 8/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD417358PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I02113MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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