Individual
BRIAN R KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4104 MEDICAL CENTER DRIVE, SUITE 104, FAYETTEVILLE, NY 13066
(315) 663-0059
(315) 663-0123
Mailing address
5112 WEST TAFT ROAD, SUITE L, LIVERPOOL, NY 13088
(315) 744-1864
(315) 452-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
276281
NY
207V00000X
Obstetrics & Gynecology Physician
276281
NY
Other
Enumeration date
04/28/2011
Last updated
12/16/2020
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