Provider Demographics
NPI:1306171533
Name:KLUGH, ARRICK D (DC)
Entity type:Individual
Prefix:DR
First Name:ARRICK
Middle Name:D
Last Name:KLUGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:918-633-5449
Mailing Address - Fax:
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:918-633-5449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor