| Ronald J. Kluchin, M.d.,a Professional Medical Corporation | |
|
784 Asbury Dr Mandeville LA 70471-1844 | |
| (985) 626-8110 | |
| (985) 626-8423 |
| Full Name | Ronald J. Kluchin, M.d.,a Professional Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 784 Asbury Dr, Mandeville, Louisiana |
| Authorized Official Name and Position | Ronald John Kluchin (OWNER/INTERNAL MEDICINE) |
| Authorized Official Contact | 9856268110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald J. Kluchin, M.d.,a Professional Medical Corporation 784 Asbury Dr Mandeville LA 70471-1844 Ph: (985) 626-8110 | Ronald J. Kluchin, M.d.,a Professional Medical Corporation 784 Asbury Dr Mandeville LA 70471-1844 Ph: (985) 626-8110 |
| NPI Number | 1427305788 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427305788 | NPI | - | NPPES |
| 1386057 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 017699 (Louisiana) | Primary |
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