Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD057416L | PA |
N | 2081P2900X | Pain Medicine | MD057416L | PA |
NPI | 1114910627 |
---|---|
Provider Name | John A. Kline |
First Address | Wilkes Barre, PA 18702-6830 |
Second Address | Wilkes Barre, PA 18702-6830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 26/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001640747-0003 | (05) | PA |
1146448 | AMERIHEALTH (01) | PA |
2171498 | AETNA (01) | PA |
21991-1067 | GEISINGER (01) | PA |
251645055 | UNITEDHEALTH CARE (01) | PA |
804446 | BLUE CARE HMO (FPH) (01) | PA |
903987 | BLUE CARE (01) | PA |
G48328 | (02) | PA |
P00205405 | RAILROAD MEDICARE (01) | PA |