Mccoy, Kristin Rae

Mccoy, Kristin Rae is an individual health care provider with primary practice located at 61 N Willow St Ste 4 , Mesquite NV 89027-4786. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mccoy, Kristin Rae can be contacted via phone (702) 346-4696.

Contact Information

Primary practice address
61 N Willow St Ste 4 Mesquite NV 89027-4786
Phone: (702) 346-4696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245703875
LBN Legal business name Mccoy, Kristin Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2019
Last updated Jan 7th, 2019 - about 7 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 1245703875 NPPES
Nevada MEDICAID 88-66000022

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