Provider Demographics
NPI:1821545195
Name:KLINE, NATHANAEL PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHANAEL
Middle Name:PAUL
Last Name:KLINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3733
Mailing Address - Country:US
Mailing Address - Phone:540-830-7226
Mailing Address - Fax:
Practice Address - Street 1:451 UNIVERSITY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3733
Practice Address - Country:US
Practice Address - Phone:540-830-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor