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Individual

CHRISTOPHER RYAN KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-8257
(573) 335-8424
Mailing address
48 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-8257
(573) 335-8424

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2009018156
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009018156
LICENSE
MO
Enumeration date
08/28/2012
Last updated
08/28/2012
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