Individual
DR. RICKEY A. MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 BYPASS RD, 7TH FLOOR CLINIC, PIKEVILLE, KY 41501-1689
(606) 218-1000
(606) 218-7507
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-1000
(606) 218-7507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25954
MEDICAL LICENSE NUMBER
KY
05
—
64259542
—
KY
Enumeration date
12/15/2005
Last updated
03/07/2023
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