Individual
KENNA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 GRAND AVE, MUSKOGEE, OK 74403-6226
(918) 348-2471
Mailing address
414 GRAND AVE, MUSKOGEE, OK 74403-6226
(918) 348-2471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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