Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A105567 | CA |
NPI | 1013168921 |
---|---|
Provider Name | Kris Fallon Kline |
First Address | Santa Barbara, CA 93105-6219 |
Second Address | Santa Barbara, CA 93105-6219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2008 |
Last Update Date | 02/06/2014 |