Mcclelland, Kevin J

Mcclelland, Kevin J is an individual health care provider with primary practice located at 1615 Maple Ln , Ashland WI 54806-3610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mcclelland, Kevin J can be contacted via phone (715) 685-5290.

Contact Information

Primary practice address
1615 Maple Ln Ashland WI 54806-3610
Fax: (715) 685-5118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 33292 Wisconsin

Profile Details

NPI number 1003850918
LBN Legal business name Mcclelland, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003850918 NPPES
Other 521359 PTAN
MEDICAID 31836700 PTAN

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