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Individual

MR. DAVID L MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
60 SHELTON LN, RUSSELLVILLE, KY 42276-7203
(270) 632-4514
(270) 632-4518
Mailing address
60 SHELTON LN, RUSSELLVILLE, KY 42276-7203
(270) 632-4514
(270) 632-4518

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2134P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78010121
KY
Enumeration date
09/23/2005
Last updated
08/15/2019
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