Mccoy, Kristoffer Gerard

Mccoy, Kristoffer Gerard is an sole proprietor health care provider with primary practice located at 800 Kaliste Saloom Rd , Lafayette LA 70508-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mccoy, Kristoffer Gerard can be contacted via phone (337) 233-2400.

Contact Information

Primary practice address
800 Kaliste Saloom Rd Lafayette LA 70508-4210
Phone: (337) 233-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 026078 Louisiana

Profile Details

NPI number 1427086123
LBN Legal business name Mccoy, Kristoffer Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427086123 NPPES
Louisiana MEDICAID 10516991

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