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Individual

CHRISTINA A KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-5117
Mailing address
6626 E 75TH ST, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
350229
NY
363LN0000X
Neonatal Nurse Practitioner
28182147A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002967A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000652742
ANTHEM
IN
05
200957420
IN
Enumeration date
07/15/2006
Last updated
05/14/2024
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