NPI 1063788586

Cory S McClinton, PAC

Practitioner Physician Assistant Kenner, LA

Practice location

Address: 231 W Esplanade Ave, Kenner, LA 70065-2459
Phone: (337) 654-3586
Mailing address: PO Box 425, Milton, LA 70558-0425

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.200528 (LA)

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Registry record

NPI: 1063788586
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2012
Record last updated: 29 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.