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NPI Code Detail

MEDICARE: DAVID E KLINE M.D.

MEDICARE: DAVID E KLINE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician94507GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013959923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID E KLINE M.D.
Provider Business Mailing Address
First Line : 1500 AVENIDA RINCON UNIT 105
Second Line :
City : SANTA FE
State : NM
Zip : 87506-6015
Country : US
Telephone Number : 303-829-9274
Fax Number :
Provider Business Practice Location Address
First Line : 1035 RED BUD RD NE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-6010
Country : US
Telephone Number : 706-602-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/10/2024

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Directions to “ DAVID E KLINE M.D.” Practice Location

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