Active NPI
Christopher Ryan Kline, ATC
- Other Technician
- Cape Girardeau, MO
National Provider Identifier
1275881997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 2009018156
- Practice address
- 48 Doctors Park
Cape Girardeau, MO 63703-4928 - Phone
- (573) 335-8257
- Fax
- (573) 335-8424
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 2009018156 | MO | Primary |
Addresses
Primary practice location
48 Doctors Park
Cape Girardeau, MO 63703-4928
Mailing address
48 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 335-8257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009018156 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009018156 | MO | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1275881997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-335-8257",
"fax_number": "573-335-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-335-8257",
"fax_number": "573-335-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MO",
"license": "2009018156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2009018156",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.