Provider Demographics
NPI:1730268095
Name:KLINE, CAROLYN ROBERTA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ROBERTA
Last Name:KLINE
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1135 116TH AVE NE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4623
Mailing Address - Country:US
Mailing Address - Phone:425-688-8111
Mailing Address - Fax:425-688-8110
Practice Address - Street 1:1135 116TH AVE NE
Practice Address - Street 2:SUITE 320
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4623
Practice Address - Country:US
Practice Address - Phone:425-688-8111
Practice Address - Fax:425-688-8110
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00031719207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine