Dr. Justin D Clutter
Family Doctor - Hospice and Palliative Medicine
1401 Harrodsburg Rd Suite C205
Lexington
, Kentucky 40504-3751
Dr. Justin D Clutter
Family Doctor - Hospice and Palliative Medicine
1401 Harrodsburg Rd Suite C205
Lexington
, Kentucky 40504-3751
(859) 276-5344
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Justin D Clutter
- 2312 Alexandria Dr
- Lexington, KY
- Zip : 40504-3229
- Phone : (859) 276-5344
Second Address
- Dr. Justin D Clutter
- 1401 Harrodsburg Rd Suite C205
- Lexington, KY
- Zip : 40504-3751
- Phone : (859) 278-4869
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 41865 | KY |
National Provider Identifier
| NPI | 1659377000 |
|---|---|
| Provider Name | Dr. Justin D Clutter |
| First Address | Lexington, KY 40504-3229 |
| Second Address | Lexington, KY 40504-3751 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 12/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7100039470 | (05) | KY |
| I03229 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.