Healthcare Provider Details
I. General information
NPI: 1346181773
Provider Name (Legal Business Name): KYLE KLINE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1329 E KEMPER RD STE 4104C
CINCINNATI OH
45246-5101
US
IV. Provider business mailing address
1329 E KEMPER RD STE 4104C
CINCINNATI OH
45246-5101
US
V. Phone/Fax
- Phone: 513-202-6756
- Fax:
- Phone: 513-202-6756
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC-05528 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: