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NPI Code Detail

MEDICARE: TERESA KLINE NP

MEDICARE: TERESA KLINE NP
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
1363L00000XNurse PractitionerR0021183OK

General Provider Information

NPI Number : 1396769493
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA KLINE NP
Provider Business Mailing Address
First Line : 8115 S MEMORIAL DR
Second Line :
City : TULSA
State : OK
Zip : 74133-4331
Country : US
Telephone Number : 918-254-6315
Fax Number : 918-403-6315
Provider Business Practice Location Address
First Line : 8115 S MEMORIAL DR
Second Line :
City : TULSA
State : OK
Zip : 74133-4331
Country : US
Telephone Number : 918-254-6315
Fax Number : 918-293-3161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 11/08/2016

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Directions to “ TERESA KLINE NP” Practice Location

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