Individual
KLINE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2259 OLD RED STAR DR NW, BROOKHAVEN, MS 39601-8117
(601) 754-7571
Mailing address
2259 OLD RED STAR DR NW, BROOKHAVEN, MS 39601-8117
(601) 754-7571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
917654
MS
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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