CHARLES ROY KLEPPER ET AL PTRS NPI 1245345958

NPI Information

CHARLES ROY KLEPPER ET AL PTRS is a geriatric medicine family medicine in Harrison, AR. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. CHARLES ROY KLEPPER ET AL PTRS NPI is 1245345958. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Main Street Medical Clinic.

The provider's business location address is:

707 N MAIN ST
HARRISON, AR
ZIP 72601-912
Phone: (870) 741-3592
Fax: (870) 741-7733

The provider's authorized official is Charles R. Klepper .
The authorized official title is Owner and has the following contact phone number (870) 741-3592.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 4/30/2014.

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:

Other Identifiers

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

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