Individual
MS. KATHLEEN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 WILLIAMS DR, GEORGETOWN, TX 78633-1332
(512) 688-3854
(512) 651-4666
Mailing address
4500 WILLIAMS DRIVE STATION 212-277, 110 EISENHOWER COURT, GEORGETOWN, TX 78633
(512) 688-3854
(512) 651-4666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024168104
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP119783
TX
363LP2300X
Primary Care Nurse Practitioner
AP119783
TX
Other
Enumeration date
12/16/2008
Last updated
02/21/2019
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