Individual
DR. KIA C PRATT MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 914-6180
(609) 914-6182
Mailing address
401 ROUTE 73 N, 40 LAKE CENTER DR SUITE 201A, MARLTON, NJ 08053-3425
(856) 355-0340
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101246839
VA
207R00000X
Internal Medicine Physician
25MA08974600
NJ
208M00000X
Hospitalist Physician
Primary
D86797
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710668007
—
FL
Enumeration date
06/23/2006
Last updated
03/24/2020
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