Individual
JAMES STACEY KLUTTS
Active
Individual
JAMES STACEY KLUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2002011767
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
37279
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55071
WELLMARK BCBS
IA
01
—
55110
WELLMARK BCBS
IA
Enumeration date
10/03/2006
Last updated
12/09/2009
Update your record
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