Individual
KEVIN JAMES CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Mailing address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021957
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655848
—
LA
01
—
340015305
RAILROAD MEDICARE
LA
Enumeration date
06/21/2005
Last updated
03/24/2010
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