Individual
KELLY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
(317) 338-7515
Mailing address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01095886A
IN
207NS0135X
Procedural Dermatology Physician
MT226575
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/03/2021
Last updated
08/20/2025
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