Individual
BRIAN M KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 SCHNIER ST, COLUMBUS, IN 47201-2619
(912) 375-8810
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01021499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223817
ANTHEM
—
01
—
000000991699
ANTHEM PIN
IN
01
—
056544P
SIHO
—
01
—
110164150
MEDICARE RAILROAD
IN
01
—
1790837789
GROUP NPI
IN
05
—
200081160A
—
IN
Enumeration date
06/27/2006
Last updated
09/09/2024
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