Individual
HILLARY LEA MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BURNET AVENUE, ML 2016, CINCINNATI, OH 45229-3026
(513) 636-4726
(513) 636-2808
Mailing address
3333 BURNET AVENUE, ML 2016, CINCINNATI, OH 45229-3026
(513) 636-4726
(513) 636-2808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002782RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50.002782RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068334
—
OH
05
—
7100061610
—
KY
Enumeration date
08/29/2008
Last updated
02/15/2018
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