Individual
DR. ROBERT LEE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
115 S 5TH ST, BARDSTOWN, KY 40004-1108
(502) 348-5125
(502) 348-2485
Mailing address
115 S 5TH ST, BARDSTOWN, KY 40004-1108
(502) 348-5125
(502) 348-2485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
704DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77007045
—
KY
Enumeration date
09/27/2005
Last updated
03/13/2013
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