Individual
DR. TAMBERLY L MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,PLLC
Contact information
Practice address
2816 VEACH RD STE 308, OWENSBORO, KY 42303-6297
(270) 926-1150
(270) 926-2796
Mailing address
2816 VEACH RD STE 308, OWENSBORO, KY 42303-6297
(270) 926-1190
(270) 926-2796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34958
KY
363LF0000X
Family Nurse Practitioner
3011631
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321562
ANTHEM
KY
01
—
18D1027616
CLIA
KY
01
—
34958
KY LICENSE
KY
05
—
64349582
—
KY
Enumeration date
10/04/2006
Last updated
06/22/2023
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