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NPI Code Detail

MEDICARE: KEVIN W KLUG MD

MEDICARE: KEVIN W KLUG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) Physician04-46144KS
2207Q00000XFamily Medicine Physician04-46144KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124657838
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN W KLUG MD
Provider Business Mailing Address
First Line : 520 S SANTA FE AVE STE 400
Second Line :
City : SALINA
State : KS
Zip : 67401-4190
Country : US
Telephone Number : 785-452-7366
Fax Number : 785-452-7354
Provider Business Practice Location Address
First Line : 520 S SANTA FE AVE STE 400
Second Line :
City : SALINA
State : KS
Zip : 67401-4190
Country : US
Telephone Number : 785-452-7366
Fax Number : 785-452-7354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2020
Last Update Date : 03/02/2026

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Directions to “ KEVIN W KLUG MD” Practice Location

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