KELLY MCCLAIN
NPI 1720434384
Point of Service in Wyoming, MI

Active since May 12, 2016
2125 DENWOOD AVE SW, WYOMING, MI 49509(616) 329-2209 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Mcclain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MCCLAIN (NPI 1720434384) is an individual point of service provider in Wyoming, Michigan and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1720434384
Entity TypeIndividualFemale
Primary Taxonomy305S00000X
Provider Legal NameKELLY MCCLAIN
Location Address2125 DENWOOD AVE SWWyoming, MI 49509-1962
Mailing Address2125 Denwood Ave SwWyoming, MI 49509-1962 · (616) 329-2209
Sole ProprietorYes
Enumeration DateMay 12, 2016
NPI 1720434384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

2125 DENWOOD AVE SW, Wyoming, MI 49509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720434384, enumerated as an "individual" on May 12, 2016.

The provider is located at 2125 DENWOOD AVE SW WYOMING, MI 49509 and the phone number is (616) 329-2209.

Point of Service with taxonomy code 305S00000X.