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NPI Profile for DERRICK KLEINER in GRANTS PASS, OR.
An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist |
| NPI # | 1730948589 |
|
| Status | Active | |
| Credentials | CPO | |
| Entity | Individual | |
| Enumeration date | 03/14/2024 | |
| Last updated | 03/14/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DERRICK KLEINER
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DERRICK KLEINER, CPO