Individual
KENNETH MICHAEL MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8274 SCHOOL RD UNIT A, FORT CAMPBELL, KY 42223-2619
(937) 479-2835
Mailing address
8274 SCHOOL RD UNIT A, FORT CAMPBELL, KY 42223-2619
(937) 479-2835
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160308
AK
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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