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Individual

PHILIP J KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
370 WASINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESEA DEPT, EVANSVILLE, IN 47750
(812) 485-4000
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01027098A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01027098A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000040938
BLUE SHIELD
IN
05
100245900
IN
05
64752157
KY
01
791053424
RAILROAD MEDICARE
Enumeration date
06/07/2006
Last updated
05/26/2011
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