Kelly A. Mccoy Dc, Llc

NPI 1003011305 - Chiropractor - 111N00000X

NPI Details
NPI 1003011305
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELLY ANN KELLY
Position OWNER
Phone (314) 428-2225
Fax (314) 428-3819
Practice Location
8900 LACKLAND RD
OVERLAND MO, 63114-5407, US
Phone (314) 428-2225
Fax (314) 428-3819
Business Location
8900 LACKLAND RD
OVERLAND MO, 63114-5407, US
Phone (314) 428-2225
Fax (314) 428-3819
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 2005013008
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According to our database, Kelly A. Mccoy Dc, Llc NPI is 1003011305, taxonomy code is 111N00000X and license number is 2005013008, license state is located at Missouri. Kelly A. Mccoy Dc, Llc physically located at 8900 Lackland Rd, Overland MO, 63114-5407. NPI Number 1033115704 has the healthcare provider type.

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1003011305 NPI number is provided on an as is basis without warranty of any kind. 1003011305 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A. Mccoy Dc, Llc are for informational purposes only.