Individual
KELLY NICHOLE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 230-8456
Mailing address
113 LEE CARTER DR, JOHNSON CITY, TN 37601-3095
(423) 434-0056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000006426
TN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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