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Individual
MR. KRISTIAN FREDERICK MCCOY
Active
Individual
MR. KRISTIAN FREDERICK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606824
—
MA
01
—
AA28215
HARRARD PILGRIM
MA
01
—
Y36415
BC BS OF MA
MA
Enumeration date
02/12/2007
Last updated
07/08/2007
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