Individual
TIMOTHY JAMES KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1130761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1130761
NCCPA
TX
Enumeration date
01/07/2016
Last updated
01/07/2025
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