Susan Lee Johnson-Kline in Berkeley - Pediatrics
Susan Lee Johnson-Kline - NPI 1740306810
Susan Lee Johnson-Kline is a Pediatrics in Berkeley, California. Susan Lee Johnson-Kline practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Lee Johnson-Kline is 1740306810. The last update date is 2007-07-08.
Susan Lee Johnson-Kline's current location address is 1322 Santa Fe Ave, Berkeley, California. You can contact this provider via phone number 5105254662. The mailing address for Susan Lee Johnson-Kline is 1322 Santa Fe Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lee Johnson-Kline |
|---|---|
| Address | 1322 Santa Fe Ave, Berkeley, California |
| Phone Number | 5105254662 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1740306810 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1322 Santa Fe Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947021047 |
| Phone Number | 5105254662 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT10265 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identifier code assigned to Susan Lee Johnson-Kline by the Centers for Medicare & Medicaid Services?
The Susan Lee Johnson-Kline has been issued the NPI (National Provider Identifier) 1740306810 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan Lee Johnson-Kline located?
The Susan Lee Johnson-Kline is located at 1322 Santa Fe Ave, Berkeley, CA 947021047.
What is Susan Lee Johnson-Kline's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Lee Johnson-Kline is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740306810 to Susan Lee Johnson-Kline?
The Centers for Medicare & Medicaid Services assigned the 1740306810 to Susan Lee Johnson-Kline on 2007-03-21.
As of what date were the details pertaining to Susan Lee Johnson-Kline last refreshed?
The information related to the Susan Lee Johnson-Kline, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH