Individual
MARTIN J KLINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2131 N RIDGE RD, WICHITA, KS 67212-1570
(316) 721-1200
(316) 721-8853
Mailing address
PO BOX 764, WICHITA, KS 67201-0764
(316) 721-1200
(316) 721-8853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00343
KS
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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