Provider Demographics
NPI:1356680821
Name:KLINE, RHONDA DIANE (FNPC)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:DIANE
Last Name:KLINE
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5028 122ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8398
Mailing Address - Country:US
Mailing Address - Phone:806-749-7975
Mailing Address - Fax:806-749-7937
Practice Address - Street 1:5028 122ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-8398
Practice Address - Country:US
Practice Address - Phone:806-749-7975
Practice Address - Fax:806-749-7937
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily