| Mr Jimmy L Klutts, CRNA | |
|
2220 W Iowa Ave, Chickasha, OK 73018-2738 | |
| (405) 224-2300 | |
| Not Available |
| Full Name | Mr Jimmy L Klutts |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2220 W Iowa Ave, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932194792 | NPI | - | NPPES |
| 7751127 | Other | OK | AETNA |
| 4447005008-001 | Other | OK | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0062493 (Oklahoma) | Primary |
| Entity Name | Las Vegas Pain Institute And Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659431443 PECOS PAC ID: 0941256846 Enrollment ID: O20050323001292 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jimmy L Klutts, CRNA 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2113 | Mr Jimmy L Klutts, CRNA 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 224-2300 |
William Stewart Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2220 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2300 Fax: 405-779-2143 | |
Jon Miles Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2220 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2300 Fax: 405-779-2143 | |
Mr. Daniel Michael Whitmill, CRNA-APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2220 W Iowa Ave, Chickasha, OK 73018 Phone: 405-779-2834 Fax: 405-779-2143 |