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Individual
MS. KATHLEEN MCCLANAHAN
Active
Individual
MS. KATHLEEN MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R128846
MD
363L00000X
Nurse Practitioner
RN63775
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036204800
—
DC
05
—
406281700
—
DC
05
—
406281701
—
MD
Enumeration date
01/26/2006
Last updated
12/10/2021
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