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Individual

MS. LOU COOK KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2008 N WALNUT ST, HARTFORD CITY, IN 47348-1364
(931) 253-1110
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
(931) 253-1110

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003226
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200980620
IN
01
P00855127
RR MEDICARE
IN
Enumeration date
04/06/2010
Last updated
09/25/2023
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