Most Relevant Information
Provider Data
| NPI Number: | 1003567603 |
| Provider Name: | COLLEEN KLOS |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 027835-01 |
Most Important Dates
| Enumeration Date: | 01/14/2022 |
| Last Updated: | 01/14/2022 |
Provider Practice Location
1540 MAPLE RD
WILLIAMSVILLE
NY
142213647
Practice Location Phone/Fax
| Phone: | 7165683514 |
| Fax: |
Provider Mailing Location
1540 MAPLE RD
WILLIAMSVILLE
NY
142213647
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR