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Individual

MRS. SANDRA DEE MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
749 IRVINE RD, CLAY CITY, KY 40312-9732
(606) 663-2153
(606) 663-7966
Mailing address
PO BOX 636493, CINCINNATI, OH 45263-6493
(513) 981-5130
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002780
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
607850200
FEDERAL BLACK LUNG
KY
05
78002631
KY
Enumeration date
08/19/2006
Last updated
06/08/2015
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