Individual
KYLIE ALLISSA MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 HOSPITAL AVE, DU BOIS, PA 15801-1409
(814) 371-1900
(814) 503-8568
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MA062018
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103894366
—
PA
Enumeration date
12/27/2020
Last updated
02/21/2023
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