Individual
MS. KELLY ANN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
325 MEDICAL PKWY STE 100, GREER, SC 29650-2458
(864) 797-9200
(864) 797-9245
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
83830
SC
390200000X
Student in an Organized Health Care Education/Training Program
APP-000142901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
05/31/2018
Last updated
09/02/2022
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