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Individual

KELLY LYNN MCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
310 E. EIGHTH ST., SUITE 130, MARIETTA, OH 45750
(740) 373-7197
(740) 373-7198
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35. 091347
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2843909
OH
05
3810013556
WV
Enumeration date
03/11/2008
Last updated
04/13/2021
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