Individual
KIM H CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 STATION DR, MARYVILLE, TN 37804-4190
(865) 982-7101
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14664
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110142331
RR MEDICARE PIN
TN
05
—
3019115
—
TN
Enumeration date
06/25/2006
Last updated
04/30/2008
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