Individual
BERNARD KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
602 IVY ST, ELMIRA, NY 14905-1646
(607) 735-4633
(607) 735-4628
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002990-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282324
—
NY
Enumeration date
01/15/2007
Last updated
07/09/2007
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