| John Mcclellan | |
|
1413 N Elm St Henderson KY 42420-2768 | |
| (812) 464-0521 | |
| (812) 464-0565 |
| Full Name | John Mcclellan |
|---|---|
| Speciality | Family Medicine |
| Location | 1413 N Elm St, Henderson, Kentucky |
| Authorized Official Name and Position | Satyam Tatineni (PRESIDENT OF MEDICAL GROUP) |
| Authorized Official Contact | 8124640521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Mcclellan Po Box 3316 Evansville IN 47732-3316 Ph: (812) 464-0521 | John Mcclellan 1413 N Elm St Henderson KY 42420-2768 Ph: (812) 464-0521 |
| NPI Number | 1750552493 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750552493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13012 (Kentucky) | Primary |
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