Provider Demographics
NPI:1659111623
Name:KLINE GALLAND
Entity type:Organization
Organization Name:KLINE GALLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:ROBANCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-805-1930
Mailing Address - Street 1:7500 SEWARD PARK AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4247
Mailing Address - Country:US
Mailing Address - Phone:206-725-8800
Mailing Address - Fax:
Practice Address - Street 1:5950 6TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3320
Practice Address - Country:US
Practice Address - Phone:206-725-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health Aide
No251G00000XAgenciesHospice Care, Community Based