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
Phone: (903) 677-8453
Fax: (903) 677-8454
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154326171 | NPPES |
| Texas | Other | 8S2732 | BCBS |
| Texas | MEDICAID | 178426602 | BCBS |
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