Individual
NEIL W KOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 31D, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 31D, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689626343
—
VA
05
—
Q015096
—
TN
Enumeration date
05/17/2006
Last updated
02/15/2017
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