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General NPI Number Information
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NPI Number | 1467425884
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Entity Type | Individual
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Provider Name | KATHERINE LYNN MCCLANAHAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 10624 S EASTERN AVE # A-955
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City | HENDERSON
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State | NV
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Zip | 89052-2982
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Country | US
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Telephone | 702-800-5393
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 34046
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City | LAS VEGAS
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State | NV
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Zip | 89133-4046
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Country | US
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Telephone | 702-787-7524
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Fax | 702-228-0385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20A7842
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 50707
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1211
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License Number State | NV
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