Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 30590 | IL |
NPI | 1467632596 |
---|---|
Provider Name | Mr. James D Kline |
First Address | Carlsbad, CA 92011-4213 |
Second Address | Carlsbad, CA 92011-4213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2007 |
Last Update Date | 02/07/2018 |