Individual
KATHRYN LORENE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
321 BURNETT AVE S, SUITE #305, RENTON, WA 98055-2558
(253) 332-5342
Mailing address
PO BOX 8892, COVINGTON, WA 98042-0056
(253) 639-1335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019955
WA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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