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Organization

MCCLELLAN CHIROPRACTIC CENTER, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DALLAS MCCLELLAN D.C. (CHIROPRACTOR)
(859) 623-3780
Entity
Organization

Contact information

Practice address
1140 BARNES MILL RD, RICHMOND, KY 40475-8730
(859) 623-3780
(859) 623-8377
Mailing address
1140 BARNES MILL RD, RICHMOND, KY 40475-8730
(859) 623-3780
(859) 623-8377

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3790
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000271734
ANTHEM
KY
01
5833098
AETNA
KY
01
6700325
CIGNA HEALTHCARE
KY
05
85000669
KY
01
P00030494
RAILROAD RETIREMENT BOARD
KY
Enumeration date
01/24/2007
Last updated
08/22/2020
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