IndividualActive
Kelly Mcclain
NPI 1720434384 · Point of Service · Wyoming, MI
Provider details
- NPI number
- 1720434384
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
2125 Denwood Ave Sw
Wyoming, MI 49509-1962
Phone: (616) 329-2209
Approximate (ZIP-level) locationGet directions
Mailing address
2125 Denwood Ave Sw
Wyoming, MI 49509-1962
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2016-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.