Provider Demographics
NPI:1053566034
Name:CLINE, KURT STANLEY (DC)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:STANLEY
Last Name:CLINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W EL CAMINO REAL STE 390
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1975
Mailing Address - Country:US
Mailing Address - Phone:408-733-7330
Mailing Address - Fax:408-733-7313
Practice Address - Street 1:333 W EL CAMINO REAL STE 390
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1975
Practice Address - Country:US
Practice Address - Phone:408-733-7330
Practice Address - Fax:408-733-7313
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor