Individual
JIMMY ROBERT KLUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 WASHINGTON RD, SUITE 7, WASHINGTON, PA 15301-2765
(724) 225-3627
(304) 598-3630
Mailing address
460 WASHINGTON RD, SUITE 7, WASHINGTON, PA 15301-2765
(724) 225-3627
(304) 598-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD425430
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL1689021
HIGHMARK BCBS
PA
Enumeration date
07/20/2005
Last updated
03/07/2023
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