Individual
KIMBERLY DENISE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-6196
(931) 707-9807
Mailing address
212 BRADROCK ST, CROSSVILLE, TN 38571-0502
(931) 261-4676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000080995
TN
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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