Individual
KIM MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 4TH ST, STRATTON, OH 43961-7209
(406) 490-3881
Mailing address
160 ORCHARD ST, WINTERSVILLE, OH 43953-3940
(406) 490-3881
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345340
—
OH
Enumeration date
11/14/2020
Last updated
11/14/2020
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