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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