Individual
KELSEY JO MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1601 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 732-0000
Mailing address
13311 S COUNTY ROAD 500 W, GALVESTON, IN 46932-8506
(765) 437-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013828A
IN
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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