Pratt Mccoy, Kia C

Pratt Mccoy, Kia C is an individual health care provider with primary practice located at 175 Madison Ave , Mount Holly NJ 08060-2038. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Pratt Mccoy, Kia C can be contacted via phone (609) 914-6180.

Contact Information

Primary practice address
175 Madison Ave Mount Holly NJ 08060-2038
Phone: (609) 914-6180
Fax: (609) 914-6182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101246839 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08974600 New Jersey
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D86797 Maryland

Profile Details

NPI number 1508892480
LBN Legal business name Pratt Mccoy, Kia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 24th, 2020 - about 4 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 1508892480 NPPES
Florida MEDICAID 2710668007

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