Individual
WILLIAM KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
Mailing address
327 HUNTINGTON PL, TUPELO, MS 38801-7965
(662) 840-9501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R579432
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09682376
—
MS
01
—
3021436848
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER PTAN
MS
Enumeration date
08/31/2006
Last updated
04/04/2013
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