Individual
JULIE KAY MCCLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3515 BROADWAY AVE, SUITE 121, GREAT BEND, KS 67530-3633
(620) 793-5510
(620) 793-5601
Mailing address
PO BOX 309, GREAT BEND, KS 67530-0309
(620) 786-6475
(620) 786-6155
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
74371
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517980A
—
KS
01
—
74371
LICENSE NUMBER
KS
Enumeration date
12/20/2006
Last updated
05/28/2009
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