Individual
DR. MICHAEL L MCCLINTOCK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S KENTUCKY AVE, CORBIN, KY 40701-1533
(606) 528-0901
(606) 528-0903
Mailing address
205 S KENTUCKY AVE, CORBIN, KY 40701-1533
(606) 528-0901
(606) 528-0903
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-21428-1
—
KY
Enumeration date
06/17/2006
Last updated
07/08/2007
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