Provider Demographics
NPI:1467678805
Name:KLINE, LOAN TRINH (MD)
Entity Type:Individual
Prefix:
First Name:LOAN
Middle Name:TRINH
Last Name:KLINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOAN
Other - Middle Name:
Other - Last Name:NHAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:105 RICHESON DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2929
Mailing Address - Country:US
Mailing Address - Phone:703-933-0555
Mailing Address - Fax:703-933-0999
Practice Address - Street 1:105 RICHESON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2929
Practice Address - Country:US
Practice Address - Phone:703-933-0555
Practice Address - Fax:703-933-0999
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250467208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics