Individual
MR. JEFFREY A KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
15777 NORTHLINE RD, SPORTS MEDICINE, SOUTHGATE, MI 48195-2385
(734) 324-9593
(734) 246-8162
Mailing address
15777 NORTHLINE RD, SPORTS MEDICINE, SOUTHGATE, MI 48195-2385
(734) 324-9593
(734) 246-8162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
PENDING
MI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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