Individual
BETH A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 PARKWAY DR, BARDSTOWN, KY 40004-3220
(502) 348-4757
(502) 348-4755
Mailing address
947 SHELBYVILLE RD, TAYLORSVILLE, KY 40071-9730
(502) 876-0837
(502) 348-4755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010021
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3010021
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100400070
—
KY
Enumeration date
04/26/2016
Last updated
03/13/2024
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