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Individual

KAREN SANTOS MCCLOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1628 DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000362108
ANTHEM
KY
01
4589534
CIGNA
KY
01
7643688
AETNA
KY
05
77001303
KY
Enumeration date
08/24/2005
Last updated
07/17/2023
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