Individual
MS. KENDRA MCCLARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
723 HAWKINS DR, ELIZABETHTOWN, KY 42701-1063
(270) 900-0373
(270) 900-0426
Mailing address
PO BOX 1086, ELIZABETHTOWN, KY 42702-1086
(207) 900-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1151731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151731
REGISTERED NURSE
KY
Enumeration date
06/26/2019
Last updated
06/26/2019
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