Individual
MRS. KATRINA RAY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
(270) 422-2221
Mailing address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
(270) 422-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006200
KY
363LF0000X
Family Nurse Practitioner
Primary
3006200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1094126
RN LICENSE
KY
05
—
7100097730
—
KY
Enumeration date
10/29/2009
Last updated
08/15/2024
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