person
Randall I Kline, DPM
Foot & Ankle Surgery Podiatrist in South Bend, Indiana
NPI 1659366276

Randall I Kline is a Foot & Ankle Surgery Podiatrist based in South Bend, IN and is specialized in Foot & Ankle Surgery. Randall I Kline practices in South Bend, IN and has the professional credentials of DPM. The NPI Number for Randall I Kline is 1659366276 and holds a License No. 07000940A (Indiana).

The current practice location address for Randall I Kline is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-247-4667 and via fax at 574-271-4458.

Location: 211 N Eddy St, South Bend, IN, 46617-3096
person
Provider Profile Details
NPI Number
1659366276
Provider Name
Randall I Kline
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
211 N Eddy St, South Bend, IN, 46617-3096
Phone Number
574-247-4667
Fax Number
574-271-4458
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07000940A 01 IN LICENSE
200471400 05 IN
P00131601 01 GA RR MEDICARE
000000891332 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
State
Zip
46617-3096
Phone Number
574-247-4667
Fax Number
574-271-4458
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
State
Zip
46617-3096
Phone Number
574-247-4667
Fax Number
574-271-4458
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000940A (Indiana)
Definition
Definition to come...
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