Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 2008-00461 | NC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 200800461 | NC |
NPI | 1093705386 |
---|---|
Provider Name | Dr. Thomas F. Kline |
First Address | Raleigh, NC 27613-7104 |
Second Address | Raleigh, NC 27613-7104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 01/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5911064 | (05) | NC |