Organization
PRUDENCE KLINE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE KLINE MD (PHYSICIAN/BUSINESS OWNER)
(202) 293-3636
Entity
Organization
Contact information
Practice address
2021 K ST NW, SUITE 512, WASHINGTON, DC 20006-1003
(202) 923-3636
(202) 293-0289
Mailing address
2021 K ST NW, SUITE 512, WASHINGTON, DC 20006-1003
(202) 923-3636
(202) 293-0289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010493800
—
DC
Enumeration date
07/31/2008
Last updated
07/31/2008
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