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Organization

GLENN A. MCCOY, MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN A MCCOY M.D. (PRESIDENT)
(502) 368-3056
Entity
Organization

Contact information

Practice address
1700 BLUEGRASS AVENUE, SUITE 110, LOUISVILLE, KY 40215-1129
(502) 368-3056
(502) 363-1627
Mailing address
1700 BLUEGRASS AVENUE, SUITE 110, LOUISVILLE, KY 40215
(502) 368-3056
(502) 363-1627

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23946
KY

Other

Enumeration date
01/23/2008
Last updated
11/05/2010
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