Provider Demographics
NPI:1306833496
Name:KLUGO, KAREN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:KLUGO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5535 FAIR LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3434
Mailing Address - Country:US
Mailing Address - Phone:513-221-5274
Mailing Address - Fax:513-961-5100
Practice Address - Street 1:5240 E GALBRAITH RD
Practice Address - Street 2:STE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2877
Practice Address - Country:US
Practice Address - Phone:513-745-9787
Practice Address - Fax:513-745-9789
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2013-12-31
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Provider Licenses
StateLicense IDTaxonomies
OH35 07 99944 L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00305737OtherRR MEDICARE
OH2396054Medicaid
OH2396054Medicaid
OHP00305737OtherRR MEDICARE