Individual
DR. WILLIAM WALLACE MCCLELLAN V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8726 US 42, FLORENCE, KY 41042-9625
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.138110
OH
207X00000X
Orthopaedic Surgery Physician
Primary
52785
KY
207X00000X
Orthopaedic Surgery Physician
DR.0060678
CO
Other
Enumeration date
05/11/2013
Last updated
08/03/2021
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