Kevin Mcclellan, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Ypsilanti, MI

NPI

1194127928

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

4704303167 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2014-09-24

Last updated

2021-03-30