Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD029009L | PA |
Y | 111NI0900X | Internist | MD029009L | PA |
N | 207RG0300X | Geriatric Medicine | MD029009L | PA |
NPI | 1144239906 |
---|---|
Provider Name | Dr. Jack Arthur Kline |
First Address | York, PA 17403-3026 |
Second Address | York, PA 17403-5060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 23/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0068486000 | AMERIHEALTH 65 PA (01) | PA |
030056 | JOHNS HOPKINS (01) | PA |
031972 | HIGHMARK BLUE SHIELD (01) | PA |
1142280 | AMERIHEALTH MERCY-WMG (01) | PA |
2143029 | MAMSI-WMG (01) | PA |
39637 | GEISINGER (01) | PA |
50054294 | CAPITAL BLUE CROSS-WMG (01) | PA |
5137088 | AETNA (01) | PA |
647977 | CAREFIRST MD BCBS (01) | MD |
81788 | UNISON-WMG (01) | PA |
C28062 | (02) | PA |
P002843 | GATEWAY-WMG (01) | PA |