Individual
JOHN A. KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 824-0930
(570) 824-7755
Mailing address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 824-0930
(570) 824-7755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD057416L
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD057416L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640747-0003
—
PA
01
—
1146448
AMERIHEALTH
PA
01
—
2171498
AETNA
PA
01
—
21991-1067
GEISINGER
PA
01
—
251645055
UNITEDHEALTH CARE
PA
01
—
804446
BLUE CARE HMO (FPH)
PA
01
—
903987
BLUE CARE
PA
01
—
P00205405
RAILROAD MEDICARE
PA
Enumeration date
08/30/2005
Last updated
03/26/2015
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