Individual
KERRY M KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 HOOVER AVE, PLOVER, WI 54467-2330
(715) 345-5424
Mailing address
1400 HOOVER AVE, PLOVER, WI 54467-2330
(715) 345-5424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01091452
WI
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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