Organization
TAMBERLY MCCOY, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMBERLY L MCCOY M.D.,PLLC (DR)
(270) 926-1150
Entity
Organization
Contact information
Practice address
2816 VEACH RD STE 308, OWENSBORO, KY 42303-6297
(270) 926-1150
(270) 926-2796
Mailing address
2816 VEACH RD STE 308, OWENSBORO, KY 42303-6297
(270) 926-1150
(270) 926-2796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321559
ANTHEM BCBS
KY
05
—
65946071
—
KY
01
—
DB6058
RAILROAD MEDICARE
KY
Enumeration date
07/16/2007
Last updated
06/14/2023
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