Individual
KELLYANN MCCLENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 WASHINGTON AVE STE 4, NORTH HAVEN, CT 06473-1724
(203) 672-2800
Mailing address
221 CHARLES AVE, MASSAPEQUA PARK, NY 11762-2110
(516) 456-1957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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