Provider Demographics
NPI:1902347123
Name:KLINEDINST, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:KLINEDINST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 MURRAY HILL RD APT 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2339
Mailing Address - Country:US
Mailing Address - Phone:717-318-8957
Mailing Address - Fax:
Practice Address - Street 1:2126 MURRAY HILL RD APT 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2339
Practice Address - Country:US
Practice Address - Phone:717-318-8957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant