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NPI Code Detail

MEDICARE: RACHEL MARIE KLINE

MEDICARE: RACHEL MARIE KLINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist46002236AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134476724
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE KLINE
Provider Business Mailing Address
First Line : 9146 MULDOON RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-9764
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2827 NORTHGATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-2900
Country : US
Telephone Number : 260-492-1400
Fax Number : 260-492-1614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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Directions to “ RACHEL MARIE KLINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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