Provider Demographics
NPI:1437154515
Name:KLINE, RICHARD MAHLON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MAHLON
Last Name:KLINE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 HOSPITAL DR
Mailing Address - Street 2:STE 120
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3204
Mailing Address - Country:US
Mailing Address - Phone:843-849-8418
Mailing Address - Fax:843-849-8419
Practice Address - Street 1:1300 HOSPITAL DR
Practice Address - Street 2:STE 120
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3204
Practice Address - Country:US
Practice Address - Phone:843-849-8418
Practice Address - Fax:843-849-8419
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2024-04-02
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Provider Licenses
StateLicense IDTaxonomies
SC184259208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC184259Medicaid
SC184259Medicaid
F68459Medicare UPIN