Individual
MR. KRISTIAN FREDERICK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9 BOSTON STREET, LYNN, MA 01904-2536
(781) 592-8089
(781) 592-8091
Mailing address
9 BOSTON STREET, LYNN, MA 01904-2536
(781) 592-8089
(781) 592-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606824
—
MA
01
—
AA28215
HARRARD PILGRIM
MA
01
—
Y36415
BC BS OF MA
MA
Enumeration date
02/12/2007
Last updated
07/08/2007
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