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NPI Code Detail

MEDICARE: DIANA LYNN KLINE P.A.

MEDICARE: DIANA LYNN KLINE P.A.
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
1363A00000XPhysician AssistantPA02585TX

General Provider Information

NPI Number : 1760427710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA LYNN KLINE P.A.
Provider Business Mailing Address
First Line : 4110 LEIGHTON LN
Second Line :
City : FRISCO
State : TX
Zip : 75034-6299
Country : US
Telephone Number : 972-473-7544
Fax Number :
Provider Business Practice Location Address
First Line : 3600 COMMUNICATIONS PKWY STE 675
Second Line :
City : PLANO
State : TX
Zip : 75093-8162
Country : US
Telephone Number : 972-473-7544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 02/27/2020

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