Individual
KEVIN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 IDLEWILD AVE STE 200, EASTON, MD 21601-3883
(410) 820-8226
(410) 820-8226
Mailing address
750 E. ADAMS STREET, SYRACUSE, NY 13210
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D0083031
MD
Other
Enumeration date
05/26/2011
Last updated
03/17/2018
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