Individual
JIMMY JOHN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
Mailing address
1057 6TH AVE, HUNTINGTON, WV 25701-2307
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
11/08/2022
Last updated
02/11/2025
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