Kevin McClellan, RVS, RCS
Individual provider Active NPI Vascular Sonography Radiologic Technologist · Royal, AR
NPI 1477348704 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1477348704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Sonography Radiologic Technologist 2471V0105X
- License
- 00066276 (AR)
- Practice address
- 307 Grisham Rd
Royal, AR 71968-9565 - Phone
- (501) 276-6557
- NPI assigned
- Apr 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00066276 | AR | MD | Vascular Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Imaging Inc | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist |
2471V0105X | 00066276 | AR | Yes |
Addresses
Primary practice location
307 Grisham Rd
Royal, AR 71968-9565
Mailing address
PO Box 377
Royal, AR 71968-0377
Phone (501) 276-6557
Other providers in Royal, AR
- Cardiac Imaging Inc
- Jordan Davidson
- Larry L Grant
- Mark E. Schreiner
- Bradley I Sexton
- Harold Dean Sikes Jr.
- Helen Elaine Trussell
All providers in Royal, AR · Vascular Sonography Radiologic Technologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.