Individual
STACY DEBRA KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1525 EDGEWATER BEACH DR, LAKELAND, FL 33805-4737
(863) 680-2229
(863) 682-4784
Mailing address
1525 EDGEWATER BEACH DR, LAKELAND, FL 33805-4737
(863) 680-2229
(863) 682-4784
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
MW256
FL
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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