Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101238077 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | C1-0006802 | DE |
NPI | 1063469617 |
---|---|
Provider Name | Dr. Timothy A Kline |
First Address | Fairfax, VA 22031-2238 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 08/07/2007 |