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Individual

KENNY MCCLELLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
903 ALAN PAGE DR SE # APT1, CANTON, OH 44707
(330) 737-1297
Mailing address
903 ALAN PAGE DR SE # APT1, CANTON, OH 44707

Taxonomy

Speciality
Code
Description
License number
State
3418M1110X
Military or U.S. Coast Guard Ground Transport Ambulance
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
344600000X
Taxi
347C00000X
Private Vehicle
Primary

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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