Mccoy, Kelly C

Mccoy, Kelly C is an individual health care provider with primary practice located at 2000 Alameda De Las Pulgas Ste 200 , San Mateo CA 94403-1293. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Mccoy, Kelly C can be contacted via phone (650) 573-2618.

Contact Information

Primary practice address
2000 Alameda De Las Pulgas Ste 200 San Mateo CA 94403-1293
Phone: (650) 573-2618
Fax: (650) 522-9830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1104965060
LBN Legal business name Mccoy, Kelly C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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