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Organization
KRISTIAN F. MCCOY
Active
Organization
KRISTIAN F. MCCOY
Active
Other names
Flax Pond Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIAN FREDERICK MCCOY DC (CHIROPRACTOR)
(781) 592-8089
Entity
Organization
Contact information
Practice address
9 BOSTON ST, LYNN, MA 01904-2536
(781) 592-8089
(781) 592-8091
Mailing address
9 BOSTON ST, LYNN, MA 01904-2536
(781) 592-8089
(781) 592-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606824
—
MA
01
—
198200
TUFTS HEALTH PLANS
MA
01
—
AA28215
HARVARD PILGRIM
MA
01
—
Y36415
BLUE CROSS / BLUE SHIELD
MA
Enumeration date
12/17/2007
Last updated
12/17/2007
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