Individual
WILLIAM KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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