Individual
KATHERINE LYNN MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 800-5393
Mailing address
P.O. BOX 34046, LAS VEGAS, NV 89133-4046
(702) 787-7524
(702) 228-0385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1211
NV
208M00000X
Hospitalist Physician
20A7842
CA
208M00000X
Hospitalist Physician
50707
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507178
—
NV
Enumeration date
02/08/2006
Last updated
12/09/2019
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