Individual
DR. KEVIN GERALD MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 95TH DR NE, LAKE STEVENS, WA 98258-7975
(425) 512-9887
Mailing address
22 95TH DR NE, LAKE STEVENS, WA 98258-7975
(425) 512-9887
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60291991
WA
Other
Enumeration date
03/07/2012
Last updated
01/12/2015
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