Mccoy, Keith
Mccoy, Keith is an individual health care provider with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mccoy, Keith can be contacted via phone (904) 805-1300.Contact Information
Primary practice address
2520 5Th St N
Columbus MS 39705-2008
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 14193 | Mississippi |
Profile Details
| NPI number | 1508809062 |
|---|---|
| LBN Legal business name | Mccoy, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508809062 | NPPES |
| Mississippi | MEDICAID | 00126248 | |
| Mississippi | Other | 73104263 | |
| Mississippi | Other | P00196900 |
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