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Individual

JEFFREY A KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202
(317) 639-6671
(317) 656-4216
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01070830
IN
207P00000X
Emergency Medicine Physician
Primary
01070830A
IN
207P00000X
Emergency Medicine Physician
35398
NC
2085U0001X
Diagnostic Ultrasound Physician
35398
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201079860
IN
01
49681
NCBCBS
NC
05
8948681
NC
05
N35398
SC
Enumeration date
07/24/2006
Last updated
02/13/2021
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