Individual
MICHAEL KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(516) 345-3345
Mailing address
11781 LEE JACKSON MEMORIAL HWY, STE 550, FAIRFAX, VA 22033-3309
(571) 777-5102
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
HD048723L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014688360006
—
PA
01
—
050083379
RR MEDICARE
PA
01
—
P00952231
RR MEDICARE
PA
Enumeration date
11/25/2005
Last updated
10/15/2015
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