Organization
LARRY T MCCLURE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY T. MCCLURE M.D. (M.D.)
(270) 259-9116
Entity
Organization
Contact information
Practice address
908 WALLACE AVE STE 103, LEITCHFIELD, KY 42754-1479
(270) 259-9116
Mailing address
908 WALLACE AVE STE 103, LEITCHFIELD, KY 42754-1479
(270) 259-9116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907925
—
KY
Enumeration date
01/17/2008
Last updated
01/17/2008
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