Kl Modern Spine Pllc

NPI #1952568354 in Sugar Land, Texas

Provider Information

NPI Number: 1952568354
Entity Type: Organization
Organization Name: Kl Modern Spine Pllc
Primary Specialty: Specialist
Enumeration Date: May 22, 2008
Last Updated: Oct 19, 2008

Practice Location

Address: 16659 SOUTHWEST FWY
Address 2: SUITE 561
City: Sugar Land
State: Texas
ZIP Code: 77479-2375
Phone: (713) 774-6337

Authorized Official

Name: KENNETH LEE
Title: CREDENTIALING COORDINATOR
Phone: (281) 802-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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