Most Relevant Information
Provider Data
| NPI Number: | 1003835992 |
| Provider Name: | KEVIN L KLINEDINST D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 8645 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
110 MILES RIDGE RD
MADISON
IN
472502410
Practice Location Phone/Fax
| Phone: | 8122734524 |
| Fax: | 8122735745 |
Provider Mailing Location
110 MILES RIDGE RD
MADISON
IN
472502410
Provider Mailing Phone/Fax
| Phone: | 8122734524 |
| Fax: | 8122735745 |