Individual provider · Type 1 NPI
Heather Lynn Kluck, PA-C
Medical Physician Assistant · Clinton, WI
NPI number
1710152020
Active
Practice location
307 Ogden Ave, Clinton Clinic
Clinton, WI 53525-9007
Fax (608) 676-4029
Mailing address
1115 Eagle Ct
Edgerton, WI 53534-8548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3201 (WI) |
| Physician Assistant | 363A00000X | 3201-23 (WI) |
| Physician Assistant | 363A00000X | 085-002399 (IL) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1710152020
Heather Lynn Kluck, PA-C's National Provider Identifier is 1710152020, issued on Apr 28, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clinton, WI. The record was last updated on Oct 28, 2025.