1730211228 NPI number — KLINE & ASSOCIATES

Table of content: (NPI 1730211228)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730211228 NPI number — KLINE & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KLINE & ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730211228
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
529 E STROOP RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAYTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45429-3245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-294-6004
Provider Business Mailing Address Fax Number:
937-294-9053

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
529 E STROOP RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45429-3245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-294-6004
Provider Business Practice Location Address Fax Number:
937-294-9053
Provider Enumeration Date:
03/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KLINE
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
937-294-6004

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)