Individual
DR. KRIS A KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1340 N COURT ST, CIRCLEVILLE, OH 43113-1091
(740) 477-3937
Mailing address
1340 N COURT ST, CIRCLEVILLE, OH 43113-1091
(740) 477-3937
(740) 474-6098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213315
BLUE CROSS BLUE SHIELD
OH
01
—
0598710001
NATIONAL GOVERNMENT SERVICES
OH
05
—
0726558
—
OH
01
—
206663067001
MEDICAL MUTUAL
OH
01
—
206663067002
MEDICAL MUTUAL
—
Enumeration date
01/25/2006
Last updated
02/12/2020
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