NPI Code Details Logo

NPI 1043245699

NPI 1043245699 : KRISTIN B MCCABE-KLINE MD : GREENVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043245699
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KRISTIN B MCCABE-KLINE MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/12/2006
-----------------------------------------------------
    Last Update Date     |    03/07/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    701 GROVE RD GREENVILLE MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29605-5611
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-455-6372
-----------------------------------------------------
    Fax                  |    864-455-5474
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    149 ISLAND ESTATES PKWY 
-----------------------------------------------------
    City                 |    PALM COAST
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32137-2206
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    386-864-7975
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    27551
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    ME 98422
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.