Provider Demographics
NPI:1952673659
Name:KLINE, ROBERT MANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MANN
Last Name:KLINE
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 1:614 STATE ROUTE 419
Mailing Address - Street 2:
Mailing Address - City:NEWMANSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17073-9133
Mailing Address - Country:US
Mailing Address - Phone:717-949-2714
Mailing Address - Fax:
Practice Address - Street 1:614 STATE ROUTE 419
Practice Address - Street 2:
Practice Address - City:NEWMANSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17073-9133
Practice Address - Country:US
Practice Address - Phone:717-949-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025154L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice