Individual
JOSEPH KLINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CAVALIER BLVD, SUITE 306, FLORENCE, KY 41042-3961
(859) 823-0507
(859) 823-0521
Mailing address
75 CAVALIER BLVD, SUITE 306, FLORENCE, KY 41042-3961
(859) 823-0507
(859) 823-0521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000706014
ANTHEM
KY
01
—
611198057
FEDERAL TAX ID #
KY
01
—
614254
WELLCARE
KY
05
—
64260896
—
KY
Enumeration date
05/26/2006
Last updated
04/15/2015
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