Mcclure, Sandra K

Mcclure, Sandra K is an individual health care provider with primary practice located at 1219 W Main St , West Liberty KY 41472-2161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclure, Sandra K can be contacted via phone (606) 743-4808.

Contact Information

Primary practice address
1219 W Main St West Liberty KY 41472-2161
Phone: (606) 743-4808
Fax: (606) 743-4716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009957 Kentucky

Profile Details

NPI number 1760849194
LBN Legal business name Mcclure, Sandra K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2016
Last updated May 19th, 2022 - about 2 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 1760849194 NPPES
Kentucky Other 3009957 APRN LICENSURE
Kentucky MEDICAID 7100401070 APRN LICENSURE

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