# CLEMENTE V. ZULUETA, JR., MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275543175
- **Authorized official:** CLEMENTE V. ZULUETA JR. MD (OWNER)
- **Authorized official phone:** (606) 693-1078

## Contact information

- **Practice address:** 95 JACKSON HTS, STE 201, JACKSON, KY 41339-6500
- **Practice address phone:** (606) 693-1078
- **Practice address fax:** (606) 693-1079
- **Mailing address:** PO BOX 908, JACKSON, KY 41339-0908
- **Mailing address phone:** (606) 693-1078
- **Mailing address fax:** (606) 693-1079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 31-000847 | — | KY |