Individual
SANDRA K MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1219 W MAIN ST, WEST LIBERTY, KY 41472-2161
(606) 743-4808
(606) 743-4716
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 743-4808
(606) 743-4716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009957
APRN LICENSURE
KY
05
—
7100401070
—
KY
Enumeration date
01/15/2016
Last updated
05/19/2022
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