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1427540368 NPI number — MARY KIRKPATRICK KLUG DDS

NPI Number: 1427540368
Health Care Provider/Practitioner: MARY KIRKPATRICK KLUG DDS

Information about “1427540368” NPI (MARY KIRKPATRICK KLUG DDS) exists in 1427540368 in HTML format HTML  |  1427540368 in plain Text format TXT  |  1427540368 in PDF (Portable Document Format) PDF  |  1427540368 in an XML format XML  formats.

NPI Number : 1427540368 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427540368",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KLUG",
    "FirstName": "MARY",
    "MiddleName": "KIRKPATRICK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIRKPATRICK",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "ELISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3105 KIRBY WHITTEN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARTLETT",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38134-2822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1308 N KELLY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDMOND",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73003-3906",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-216-5299",
    "PracticeLocationAddressFaxNumber": "405-216-3358",
    "EnumerationDate": "06/06/2018",
    "LastUpdateDate": "03/30/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "10775",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "7653",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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