IndividualActive
Jack Klie, MD
NPI 1992876080 · Cardiovascular Disease Physician · Providence, RI
Provider details
- NPI number
- 1992876080
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4568 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Randall Sq
Suite 305
Providence, RI 02904-2709
Phone: (401) 521-0700
Fax: (401) 521-0906
Approximate (ZIP-level) locationGet directions
Mailing address
1 Randall Sq
Providence, RI 02904-2709
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2009-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.