Individual provider · Type 1 NPI

Shannon Kluttz, PA-C

Medical Physician Assistant · Hampton, VA

NPI number 1922481118 Active

Practice location

3000 Coliseum Dr, Sentara Careplex Hospital Emergency Department
Hampton, VA 23666-5963

Mailing address

PO Box 7422
Hampton, VA 23666-0422

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110005010 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1922481118

Shannon Kluttz, PA-C's National Provider Identifier is 1922481118, issued on Jul 7, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hampton, VA. The record was last updated on Jul 7, 2015.