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Individual

MRS. KIMBERLY MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
115 MEDICAL CIR STE 103, ATHENS, TX 75751-9004
(903) 677-8453
(903) 677-8454
Mailing address
115 MEDICAL CIR STE 103, ATHENS, TX 75751-9004
(903) 677-8453
(903) 677-8454

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
577946
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178426602
TX
01
8S2732
BCBS
TX
Enumeration date
06/16/2005
Last updated
02/06/2012
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