Klutts, Jimmy L

Klutts, Jimmy L is an individual health care provider with primary practice located at 2220 W Iowa Ave , Chickasha OK 73018-2738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Klutts, Jimmy L can be contacted via phone (405) 224-2300.

Contact Information

Primary practice address
2220 W Iowa Ave Chickasha OK 73018-2738
Phone: (405) 224-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0062493 Oklahoma

Profile Details

NPI number 1932194792
LBN Legal business name Klutts, Jimmy L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 8th, 2007 - about 18 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 1932194792 NPPES
Oklahoma Other 7751127 AETNA
Oklahoma Other 4447005008-001 AETNA

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