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Individual

DR. KELLEEN Y MCCLAIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2971 CHAPEL VALLEY RD, FITCHBURG, WI 53711-7420
(608) 661-6400
Mailing address
7606 W HAMPSTEAD CT, MIDDLETON, WI 53562-3610

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3462-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33474700
WI
Enumeration date
05/20/2006
Last updated
07/09/2007
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