Provider Demographics
NPI:1033116504
Name:KLINK, ROBERT WINFIELD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WINFIELD
Last Name:KLINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:HARTFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23071-0128
Mailing Address - Country:US
Mailing Address - Phone:804-776-7170
Mailing Address - Fax:
Practice Address - Street 1:7685 MEREDITH DR
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4151
Practice Address - Country:US
Practice Address - Phone:804-693-4410
Practice Address - Fax:804-693-0925
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026446207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6288073Medicaid
160000531Medicare PIN
VAB06627Medicare UPIN