Individual
COURTNEY ARRON MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11 WARREN DRIVE, KINGSTON, OH 45644-0646
(740) 642-4154
(740) 642-4156
Mailing address
11 WARREN DRIVE, PO BOX 646, KINGSTON, OH 45644-0646
(740) 438-3080
(740) 642-4156
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160870
—
OH
01
—
22000000162917
ABSC
OH
01
—
2450629
AETNA
OH
01
—
4497404
UNITED HEALTHCARE INSUR
OH
Enumeration date
04/12/2007
Last updated
08/08/2007
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