Individual
KIMBERLY ANNE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
36 MAPLEWOOD DR, ELLINGTON, CT 06029-2313
(860) 418-7890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6607
CT
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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