Individual
PRUDENCE KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PLLC
Contact information
Practice address
2300 M ST NW, WASHINGTON, DC 20037-1434
(202) 741-2222
(202) 677-6995
Mailing address
2235 HALL PL NW, WASHINGTON, DC 20007-1837
(202) 494-1490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11864
DC
207R00000X
Internal Medicine Physician
Primary
MD11864
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010493800
—
DC
Enumeration date
09/07/2006
Last updated
10/03/2018
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