Organization
KATHRYN MCCLURE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY B FULTON (OFFICE MANAGER)
(504) 885-6060
Entity
Organization
Contact information
Practice address
4720 S I 10 SERVICE RD W, SUITE 502, METAIRIE, LA 70001-7404
(504) 885-6060
(504) 887-2114
Mailing address
4720 S I 10 SERVICE RD W, SUITE 502, METAIRIE, LA 70001-7404
(504) 885-6060
(504) 887-2114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023772
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028707
CDS
LA
Enumeration date
06/06/2007
Last updated
08/22/2020
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