Provider Demographics
NPI:1942516448
Name:KLUGH CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:KLUGH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:KLUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-321-2719
Mailing Address - Street 1:148 W MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-3962
Mailing Address - Country:US
Mailing Address - Phone:918-321-2719
Mailing Address - Fax:918-321-2732
Practice Address - Street 1:148 W MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-3962
Practice Address - Country:US
Practice Address - Phone:918-321-2719
Practice Address - Fax:918-321-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty