MARTHA JUNE KLOSS ARNP NPI 1629030465

NPI Information

NPI: 1629030465
Provider Name: MARTHA JUNE KLOSS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
225 MEDICAL CENTER DR
STE. 304
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4301
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Martha June Kloss, ARNP is a family nurse practitioner in Paducah, KY. Martha June Kloss, ARNP NPI is 1629030465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

225 MEDICAL CENTER DR
STE. 304
PADUCAH, KY
ZIP 42003-914
Phone: (270) 441-4301
Fax: (270) 441-4739

The NPI 1629030465 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/17/2007.

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
1	363LF0000X	Nurse Practitioner	Family	ARNP 3987P	KENTUCKY	Yes

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
1	0589708	MEDICARE PIN	KENTUCKY
2	P94582	MEDICARE UPIN
3	78010808	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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