Individual
MRS. KATIE MAE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN CPNP-AC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4002
Mailing address
1262 HADEN PL, CROZET, VA 22932-2905
(540) 907-1462
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
0024190727
VA
Other
Enumeration date
06/20/2024
Last updated
07/11/2024
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