Individual
CHARLES PATRICK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8080 E CENTRAL AVE, SUITE 250, WICHITA, KS 67206-2361
(316) 686-7327
(316) 686-1557
Mailing address
8080 E CENTRAL AVE, SUITE 250, WICHITA, KS 67206-2361
(316) 686-7327
(316) 686-1557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-20310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198640A
—
KS
Enumeration date
08/12/2005
Last updated
06/16/2014
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