Individual
KEEYETTA L MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S MAIN ST, RAEFORD, NC 28376-3204
(910) 758-1678
Mailing address
350 BEST ST, RAEFORD, NC 28376-7804
(252) 396-5344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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