MEDICARE: MR. ROBERT WAYNE KLEIN FNP-BC

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
1	363LA2200X	Adult Health Nurse Practitioner	2007001923-22	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1346467008	OTHER		BC

General Provider Information

NPI Number	:	1346467008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WAYNE KLEIN FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 3086
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28680-3086
Country	:	US
Telephone Number	:	828-438-8577
Fax Number	:	828-438-8507

Provider Business Practice Location Address
First Line	:	219 AVERY AVE
Second Line	:	SUITE A
City	:	MORGANTON
State	:	NC
Zip	:	28655-3102
Country	:	US
Telephone Number	:	828-391-6384
Fax Number	:	828-391-1972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	10/22/2012

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