Individual
KRISTIN RAE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 N WILLOW ST STE 4, MESQUITE, NV 89027-4786
(702) 346-4696
Mailing address
247 PALMER LN, MESQUITE, NV 89027-2907
(801) 400-4507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-66000022
—
NV
Enumeration date
01/07/2019
Last updated
01/07/2019
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