Individual
MATTHEW DANIEL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
740 S LIMESTONE L543, LEXINGTON, KY 40536-0001
(859) 323-5045
Mailing address
740 S LIMESTONE L543, LEXINGTON, KY 40536-0001
(859) 323-5045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011814
KY
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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