Clayton Kline
Clayton Kline is a Student in an Organized Health Care Education/Training Program in Buhl, Idaho. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
881 E 3900 NBuhl, ID 83316-5929
Phone: (208) 308-6841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085008738 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1982229944 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | January 4, 2022 |
| Certification date | January 4, 2022 |
| Mailing address | 881 E 3900 N, Buhl, ID 83316-5929 |