Individual
THOMAS KLUZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5438
(316) 652-0340
Mailing address
PO BOX 880, WICHITA, KS 67201-0880
(316) 685-8428
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-22218
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
04-22218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208010B
—
KS
01
—
102772
BCBS
KS
01
—
220033495
RAILROAD MEDICARE
KS
Enumeration date
01/24/2006
Last updated
10/28/2013
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