Individual
EMILY KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N BROADWAY, HALSTED 600, BALTIMORE, MD 21287-0001
(410) 955-5000
Mailing address
13 S DUNCAN ST, BALTIMORE, MD 21231-2043
(570) 357-4489
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003366
MD
Other
Enumeration date
02/12/2007
Last updated
05/28/2016
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