Individual
KEVIN J MCCLELLAND
Active
Individual
KEVIN J MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31836700
—
WI
01
—
521359
PTAN
—
Enumeration date
06/15/2006
Last updated
05/23/2016
Update your record
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