John F Kludt, OD Valid NPI
Individual provider · Optometrist · Hettinger, ND
- NPI
- 1053404756
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 0504 (ND)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Practice location
1000 Highway 12
Hettinger, ND 58639
(701) 567-6133