Klutts, Fred
Klutts, Fred is an individual health care provider with primary practice located at 3910 Hinkleville Rd , Paducah KY 42001-9017. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Klutts, Fred can be contacted via phone (270) 443-2090.Contact Information
Primary practice address
3910 Hinkleville Rd
Paducah KY 42001-9017
Phone: (270) 443-2090
Fax: (270) 444-2086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0830DT | Kentucky |
Profile Details
| NPI number | 1255496170 |
|---|---|
| LBN Legal business name | Klutts, Fred |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Sep 27th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255496170 | NPPES |
| Kentucky | MEDICAID | 77008308 |
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