Provider Demographics
NPI:1760757553
Name:KLINE, MARIAN SMITH (RN, MS)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:SMITH
Last Name:KLINE
Suffix:
Gender:F
Credentials:RN, MS
Other - Prefix:MS
Other - First Name:MARIAN
Other - Middle Name:THERESA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MS
Mailing Address - Street 1:700 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-6416
Mailing Address - Country:US
Mailing Address - Phone:845-561-3655
Mailing Address - Fax:845-561-0252
Practice Address - Street 1:700 CORPORATE BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6416
Practice Address - Country:US
Practice Address - Phone:845-561-3655
Practice Address - Fax:845-561-0252
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271799163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health