Provider Demographics
NPI:1902152978
Name:MCCLELLAND, KARAH A (PA-C)
Entity Type:Individual
Prefix:
First Name:KARAH
Middle Name:A
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1824
Mailing Address - Country:US
Mailing Address - Phone:814-536-2526
Mailing Address - Fax:814-536-5437
Practice Address - Street 1:422 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1824
Practice Address - Country:US
Practice Address - Phone:814-536-2526
Practice Address - Fax:814-536-5437
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2015-10-23
Deactivation Date:2014-11-04
Deactivation Code:
Reactivation Date:2015-02-03
Provider Licenses
StateLicense IDTaxonomies
PAMA005615363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical