Provider Demographics
NPI:1184474793
Name:KLINE, JAMISON (MD)
Entity type:Individual
Prefix:
First Name:JAMISON
Middle Name:
Last Name:KLINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1902
Mailing Address - Country:US
Mailing Address - Phone:317-338-6399
Mailing Address - Fax:317-338-6359
Practice Address - Street 1:101 MANNING DRIVE, CB# 7510
Practice Address - Street 2:2000 OLD CLINIC, OFICE: W2107
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7510
Practice Address - Country:US
Practice Address - Phone:919-445-6985
Practice Address - Fax:919-962-9625
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program