Mark Douglas Kline MD

NPI 1477670495 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1477670495
Gender Male
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
205 SOUTH ST
FORT BRAGG CA, 95437-5540, US
Phone (707) 964-1251
Fax (707) 961-2722
Business Location
205 SOUTH ST
FORT BRAGG CA, 95437-5540, US
Phone (707) 964-1251
Fax (707) 961-2722
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G86945
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According to our database, Dr. Mark Douglas Kline MD NPI is 1477670495, taxonomy code is 2084P0800X and license number is G86945, license state is located at California. Mark Douglas Kline MD physically located at 205 South St, Fort Bragg CA, 95437-5540. NPI Number Mark Douglas Kline MD has the Individual type.

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1477670495 NPI number is provided on an as is basis without warranty of any kind. 1477670495 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Douglas Kline MD are for informational purposes only.