Individual
KEVIN MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVS, RCS
Contact information
Practice address
307 GRISHAM RD, ROYAL, AR 71968-9565
(501) 276-6557
Mailing address
PO BOX 377, ROYAL, AR 71968-0377
(501) 276-6557
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
00066276
AR
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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