Individual
KELLY L MCCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301073167
MI
208000000X
Pediatrics Physician
4301073167
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3502982
—
MI
Enumeration date
10/17/2006
Last updated
02/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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