Organization
KENNETH L. MCCOY & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRANCACCIO MD (PRESIDENT)
(202) 269-7242
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, PATHOLOGY DEPATMENT, WASHINGTON, DC 20017-2180
(410) 872-9188
(410) 872-9169
Mailing address
PO BOX 70688, WASHINGTON, DC 20024
(410) 872-9188
(410) 872-9169
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/15/2005
Last updated
08/22/2020
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