Provider Demographics
NPI:1558320531
Name:KLINE, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:KLINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3725 GENE FIELD RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-1878
Mailing Address - Country:US
Mailing Address - Phone:816-676-1700
Mailing Address - Fax:816-676-1737
Practice Address - Street 1:3725 GENE FIELD RD STE A
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1878
Practice Address - Country:US
Practice Address - Phone:816-676-1700
Practice Address - Fax:816-676-1737
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR9G93207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063725158OtherNPI NUMBER FOR OFFICE
MO202823811Medicaid
MOFK2467959OtherDEA
E58792Medicare UPIN