Most Relevant Information
Provider Data
| NPI Number: | 1003015546 |
| Provider Name: | KELLIE SUZANNE CLINE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.107186 |
Most Important Dates
| Enumeration Date: | 07/14/2007 |
| Last Updated: | 07/14/2007 |
Provider Practice Location
144 RIGRISH RD
PORTSMOUTH
OH
456629066
Practice Location Phone/Fax
| Phone: | 7407760836 |
| Fax: |
Provider Mailing Location
144 RIGRISH RD
PORTSMOUTH
OH
456629066
Provider Mailing Phone/Fax
| Phone: | 7407760836 |
| Fax: |