MEDICARE: RICHARD KLUG M.D.

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
1	207Q00000X	Family Medicine Physician	16431	NE

Other Identifiers

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

General Provider Information

NPI Number	:	1194797639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD KLUG M.D.

Provider Business Mailing Address
First Line	:	1401 E H ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3432
Country	:	US
Telephone Number	:	308-344-4110
Fax Number	:	308-344-8369

Provider Business Practice Location Address
First Line	:	1401 E H ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3432
Country	:	US
Telephone Number	:	308-344-4110
Fax Number	:	308-344-8369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	01/28/2015

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Directions to “ RICHARD KLUG M.D.” Practice Location

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