Individual
KATHLEEN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 CHESTNUT ST, PHILADELPHIA, PA 19139-3205
(215) 748-8400
Mailing address
5501 CHESTNUT ST, PHILADELPHIA, PA 19139-3205
(215) 748-8400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD439587
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD439587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024738420001
—
PA
01
—
186201ELS
MEDICARE PTAN
PA
Enumeration date
10/09/2006
Last updated
02/17/2016
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