SearchMichigan173000000X

Shannan Kline

NPI 1851712319 · on the registry since 2013

Practice

Address
724 W Centre Ave Ste 105
Portage, MI 49024
Phone
(269) 327-3700
Fax
(269) 323-0229
Clinicians at this address
4

Registry record

Primary taxonomy
173000000X
173000000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan