Provider Demographics
NPI:1528339405
Name:DR. JAMES M KLINE ASSOCIATES,INC
Entity type:Organization
Organization Name:DR. JAMES M KLINE ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-755-1454
Mailing Address - Street 1:581 5TH ST
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-1847
Mailing Address - Country:US
Mailing Address - Phone:330-755-1454
Mailing Address - Fax:330-755-1856
Practice Address - Street 1:581 5TH ST
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1847
Practice Address - Country:US
Practice Address - Phone:330-755-1454
Practice Address - Fax:330-755-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002425K207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty