Individual
DR. GLENN KELLIS MCCLAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-2931
(540) 636-2933
Mailing address
209 W CRISER RD STE 300, FRONT ROYAL, VA 22630-2360
(540) 636-4250
(540) 636-7171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101049425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088195
SENTARA
VA
05
—
1619995669
—
VA
Enumeration date
07/18/2006
Last updated
02/06/2024
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