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Individual

KYLE PARK MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 857-2333
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102206589
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2018
Last updated
06/03/2022
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