Healthcare Provider Details

I. General information

NPI: 1164752457
Provider Name (Legal Business Name): APRIL KLINE CPM, IBCLC, CD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 02/17/2024
Certification Date: 02/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 E STROOP RD
KETTERING OH
45429-3245
US

IV. Provider business mailing address

367 CARLYLE CIR
KETTERING OH
45429-1802
US

V. Phone/Fax

Practice location:
  • Phone: 845-282-0177
  • Fax:
Mailing address:
  • Phone: 845-282-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number302576
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number3043
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: