Kline, Brooke Nichole
Kline, Brooke Nichole is an individual health care provider with primary practice located at 10455 Orthopaedic Dr , Newburgh IN 47630-7955. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kline, Brooke Nichole can be contacted via phone (812) 424-9291.Contact Information
Primary practice address
10455 Orthopaedic Dr
Newburgh IN 47630-7955
Phone: (812) 424-9291
Fax: (812) 421-2722
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000701A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1783 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
NPI number | 1114977915 |
---|---|
LBN Legal business name | Kline, Brooke Nichole |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Mar 14th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114977915 | NPPES |
Kentucky | MEDICAID | 7100146260 | |
Kentucky | MEDICAID | 300007141 |
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