Individual
CLEMENTE V. ZULUETA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 JACKSON HTS, STE 201, JACKSON, KY 41339-6500
(606) 693-1078
(606) 693-1079
Mailing address
PO BOX 908, JACKSON, KY 41339-0908
(606) 693-1078
(606) 693-1079
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64028400
—
KY
Enumeration date
08/09/2006
Last updated
07/02/2012
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