Individual
WILLIAM T MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY28164
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64281645
—
KY
01
—
KY28164
LICENSE
KY
Enumeration date
05/04/2006
Last updated
12/09/2020
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