Mccoy, Kimberly

Mccoy, Kimberly is an individual health care provider with primary practice located at 115 Medical Cir Ste 103 , Athens TX 75751-9004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Mccoy, Kimberly can be contacted via phone (903) 677-8453.

Contact Information

Primary practice address
115 Medical Cir Ste 103 Athens TX 75751-9004
Fax: (903) 677-8454
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 577946 Texas

Profile Details

NPI number 1154326171
LBN Legal business name Mccoy, Kimberly
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 6th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154326171 NPPES
Texas Other 8S2732 BCBS
Texas MEDICAID 178426602 BCBS

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