Individual
KATHLEEN MARIE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS, BS
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(260) 481-4785
Mailing address
309 GROVE ST, ALBION, IN 46701-1089
(260) 636-3316
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
12343
IN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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