Individual
DR. CARL WESLEY KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4212
(870) 246-8036
(870) 246-7164
Mailing address
2850 TWIN RIVERS DR, ARKADELPHIA, AR 71923
(870) 246-8036
(870) 246-7164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C-5937
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105305001
—
AR
Enumeration date
01/30/2006
Last updated
09/25/2013
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