Most Relevant Information
Provider Data
| NPI Number: | 1003546946 |
| Provider Name: | JOEY MCCLENDON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
349 BOGLE ST
SOMERSET
KY
425032895
Practice Location Phone/Fax
| Phone: | 6064854611 |
| Fax: |
Provider Mailing Location
349 BOGLE ST
SOMERSET
KY
425032895
Provider Mailing Phone/Fax
| Phone: | 6064854611 |
| Fax: |