Individual
MR. RICHARD BLAKE KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2767 CULTRA RD, CONWAY, SC 29526-3716
(843) 438-8470
(843) 438-8480
Mailing address
2767 CULTRA RD, CONWAY, SC 29526-3716
(843) 438-8470
(843) 438-8480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20364
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20364
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203648
—
SC
Enumeration date
07/17/2006
Last updated
02/24/2021
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