Individual
KIM ELLEN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
470 GARFIELD AVE, EVANSVILLE, WI 53536-1014
(608) 882-5100
Mailing address
1108 PARTRIDGE AVE, BELOIT, WI 53511-4746
(608) 362-8862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066-19
WI
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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