Most Relevant Information
Provider Data
| NPI Number: | 1003487133 |
| Provider Name: | JOHN KLINE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | TEI002759 |
Most Important Dates
| Enumeration Date: | 07/09/2021 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
401 BROAD ST
JOHNSTOWN
PA
159062745
Practice Location Phone/Fax
| Phone: | 8145356000 |
| Fax: |
Provider Mailing Location
401 BROAD ST
JOHNSTOWN
PA
159062745
Provider Mailing Phone/Fax
| Phone: | 8145356000 |
| Fax: |