Provider Demographics
NPI:1659733046
Name:MCCLARY, KAYLAN N (MD)
Entity Type:Individual
Prefix:
First Name:KAYLAN
Middle Name:N
Last Name:MCCLARY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:705 WELLS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2982
Mailing Address - Country:US
Mailing Address - Phone:904-282-6331
Mailing Address - Fax:904-619-1080
Practice Address - Street 1:8262 POINT MEADOWS DR STE 202
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4700
Practice Address - Country:US
Practice Address - Phone:904-265-4310
Practice Address - Fax:904-264-4311
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2022-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME156495207XX0005X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine