Mccoy, Sandra Dee

Mccoy, Sandra Dee is an individual health care provider with primary practice located at 749 Irvine Rd , Clay City KY 40312-9732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccoy, Sandra Dee can be contacted via phone (606) 663-2153.

Contact Information

Primary practice address
749 Irvine Rd Clay City KY 40312-9732
Phone: (606) 663-2153
Fax: (606) 663-7966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002780 Kentucky

Profile Details

NPI number 1770697211
LBN Legal business name Mccoy, Sandra Dee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 8th, 2015 - about 10 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 1770697211 NPPES
Kentucky MEDICAID 78002631
Kentucky Other 607850200

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