Individual
DR. JACK LITTON KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 N MAPLE AVE, NEW HAMPTON, IA 50659-1142
(641) 394-2151
(641) 394-1999
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-32731
KS
207Q00000X
Family Medicine Physician
Primary
39113
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200566670D
—
KS
Enumeration date
04/24/2007
Last updated
09/10/2020
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