| Organization Name: | KERRY MCCLURE, LLC |
| NPI Number: | 1154732915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERRY MICHELLE MCCLURE (OCCUPATIONAL THERAPIST / OWNER) |
| Mailing Address: | 2300 N Broadway St Poteau |
| State: | OK US |
| Postal Code: | 749532009 |
| Phone Number: | 9189620198 |
| Fax Number: | 8446327298 |
| NPI Enumeration Date: | 05/14/2014 |
| NPI Last Update Date: | 07/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |