Individual
CHRISTOPHER S. MCCLELLAN
Active
Individual
CHRISTOPHER S. MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225513
ANTHEM / NCMA
KY
01
—
000026447N
HUMANA / NCMA
KY
01
—
012817
SIHO / NCMA
KY
01
—
110235213
RAILROAD MEDICARE
KY
05
—
200381960
—
IN
01
—
2439608000
PASSPORT ADVANTAGE / NCMA
KY
05
—
64046287
—
KY
Enumeration date
04/19/2006
Last updated
03/04/2014
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