Kevin J Mcclelland
Gastroenterologist
1615 Maple Ln
Ashland
, Wisconsin 54806-3610
Kevin J Mcclelland
Gastroenterologist
1615 Maple Ln
Ashland
, Wisconsin 54806-3610
(715) 685-5118
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Kevin J Mcclelland
- 1615 Maple Ln
- Ashland, WI
- Zip : 54806-3610
- Fax : (715) 685-5118
- Phone : (715) 685-5500
Second Address
- Kevin J Mcclelland
- 1615 Maple Ln
- Ashland, WI
- Zip : 54806-3610
- Fax : (715) 685-5118
- Phone : (715) 685-5290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 33292 | WI |
National Provider Identifier
| NPI | 1003850918 |
|---|---|
| Provider Name | Kevin J Mcclelland |
| First Address | Ashland, WI 54806-3610 |
| Second Address | Ashland, WI 54806-3610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 23/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31836700 | (05) | WI |
| 521359 | PTAN (01) | |
| F35931 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.