Kluck, Carl Wesley

Kluck, Carl Wesley is an individual health care provider with primary practice located at 2850 Twin Rivers Dr , Arkadelphia AR 71923-4212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kluck, Carl Wesley can be contacted via phone (870) 246-8036.

Contact Information

Primary practice address
2850 Twin Rivers Dr Arkadelphia AR 71923-4212
Fax: (870) 246-7164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C-5937 Arkansas

Profile Details

NPI number 1508837485
LBN Legal business name Kluck, Carl Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508837485 NPPES
Arkansas MEDICAID 105305001

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