Provider Demographics
NPI:1861930737
Name:KLINE CHIROPRACTIC PC
Entity type:Organization
Organization Name:KLINE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-365-4052
Mailing Address - Street 1:125 NORTH CENTER ST
Mailing Address - Street 2:BOX 506
Mailing Address - City:GRATZ
Mailing Address - State:PA
Mailing Address - Zip Code:17030-0506
Mailing Address - Country:US
Mailing Address - Phone:717-365-4052
Mailing Address - Fax:717-365-3858
Practice Address - Street 1:125 NORTH CENTER ST
Practice Address - Street 2:BOX 506
Practice Address - City:GRATZ
Practice Address - State:PA
Practice Address - Zip Code:17030-0506
Practice Address - Country:US
Practice Address - Phone:717-365-4052
Practice Address - Fax:717-365-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010529111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty