Doctor Name: | CYNTHIA KLINE |
NPI Number: | 1043601347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024172314 |
Business Practice Address: | 18714 N Village Hagerstown, MD - 217422454 |
Business Phone Number: | 3017330330 |
Business Fax Number: | 3017334038 |
Mailing Address: | 13121 Brook Lane, HAGERSTOWN |
State: | MD |
Postal Code: | 217421945 |
Phone Number: | 3017330330 |
Fax Number: | 3017334038 |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 0024172314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |