Healthcare Provider Details

I. General information

NPI: 1114441888
Provider Name (Legal Business Name): CAROLINE F KLEIN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 08/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 INDEPENDENCE AVE
AKRON OH
44310-1812
US

IV. Provider business mailing address

1260 INDEPENDENCE AVE
AKRON OH
44310-1812
US

V. Phone/Fax

Practice location:
  • Phone: 234-312-2111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.021372
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN.CNP.021372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: