Individual
CHRISTOPHER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 MAYFAIR DR, STE 102, OWENSBORO, KY 42301-4568
(270) 688-9033
(270) 688-9087
Mailing address
PO BOX 1395, OWENSBORO, KY 42302-1395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20204
KY
2086S0129X
Vascular Surgery Physician
20204
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64202047
—
KY
Enumeration date
05/31/2006
Last updated
12/11/2008
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