Individual
HOLLY KELLAM MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-5968
(502) 349-0963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38993
KY
Other
Enumeration date
07/05/2005
Last updated
05/09/2008
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