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
Phone: (870) 246-8036
Fax: (870) 246-7164
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508837485 | NPPES |
Arkansas | MEDICAID | 105305001 |
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