Healthcare Provider Details

I. General information

NPI: 1265361364
Provider Name (Legal Business Name): CAMRYN MCCLURE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 PECAN DR STE A
PADUCAH KY
42001-6717
US

IV. Provider business mailing address

4570 PECAN DR STE A
PADUCAH KY
42001-6717
US

V. Phone/Fax

Practice location:
  • Phone: 270-554-6000
  • Fax:
Mailing address:
  • Phone: 270-554-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number308366
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: