Individual
ROBERT E MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SUNSET DR, CANEYVILLE, KY 42721
(270) 879-3711
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 879-3711
(270) 879-8674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222005
ANTHEM
KY
01
—
000000363734
BLUE CROSS
KY
01
—
1049901
PASSPORT
KY
01
—
2432708000
PASSPORT ADVANTAGE
KY
05
—
64193964
—
KY
Enumeration date
05/31/2005
Last updated
05/16/2018
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