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Individual
KATHLEEN MCCOY
Active
Individual
KATHLEEN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
110106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376969
—
OH
Enumeration date
04/02/2007
Last updated
07/09/2007
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