Provider Demographics
NPI:1396749818
Name:KLEINHANS, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:KLEINHANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 40767
Mailing Address - Street 2:CREDENTIALING DEPARTMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32203-0767
Mailing Address - Country:US
Mailing Address - Phone:904-376-3707
Mailing Address - Fax:904-391-5807
Practice Address - Street 1:5737 BARNHILL DR STE 102
Practice Address - Street 2:CREDENTIALING DEPARTMENT
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-7189
Practice Address - Country:US
Practice Address - Phone:904-739-3319
Practice Address - Fax:904-448-1416
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2015-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME29023207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250938500Medicaid
FL250938500Medicaid
FLD50902Medicare UPIN