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Individual

JENNIFER P KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
418 CLOVERLEAF RD, ELIZABETHTOWN, PA 17022-9320
(717) 653-1467
(717) 653-1001
Mailing address
306 N 7TH ST, COLUMBIA, PA 17512-2137
(717) 684-9106
(717) 684-1666

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002480L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1552980
GATEWAY HEALTH PLAN
PA
01
50008366
CAPITAL BLUE CROSS
PA
01
P59396
HEALTH ASSURANCE
PA
Enumeration date
10/10/2005
Last updated
11/28/2017
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