Individual
DR. KRIS A KLINE
Active
Individual
DR. KRIS A KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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