Individual
DR. KRISTOFFER GERARD MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 233-2400
Mailing address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 233-2400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10516991
—
LA
Enumeration date
06/29/2006
Last updated
07/09/2007
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