Individual
RACHEL MARIE KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2900
(260) 492-1400
(260) 492-1614
Mailing address
9146 MULDOON RD, FORT WAYNE, IN 46819-9764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002236A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555-656
—
IN
Enumeration date
08/14/2012
Last updated
08/14/2012
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