Provider Demographics
NPI:1518947043
Name:KLINE, DONALD LEE (CSA)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:LEE
Last Name:KLINE
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
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Mailing Address - Street 1:18504 NELSON RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-8034
Mailing Address - Country:US
Mailing Address - Phone:985-285-9035
Mailing Address - Fax:985-276-4813
Practice Address - Street 1:18504 NELSON RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-8034
Practice Address - Country:US
Practice Address - Phone:985-285-9035
Practice Address - Fax:985-276-4813
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant