Dr. Kenneth D. Mccoy PHD, HSPP
Full Name
Dr. Kenneth D Mccoy PHD, HSPP
NPI Number
1144399353
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/06/2006
Specialties
(Taxonomies)Name
Code
103TA0700X
103G00000X
103TB0200X
103TC1900X
103TF0000X
103TP2701X
103TM1800X
103T00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
Licenses
State
Indiana
License Number
20040951A
Contact
Information
Purpose
Mailing
Location
Address
321 S MAIN ST
321 S MAIN ST
City
New Castle
New Castle
State
IN
IN
Postal Code
47362-4218
47362-4218
Country
US
US
Telephone Number
(765) 529-3370
(765) 529-3370
Identifiers
Identifier
11639000
000000180198
11385019
251319
1297474
Identifier State
IN
IN
IN
IN
IN
Identifier Issuer
MAGELLAN PROVIDER NO
BCBS PROVIDER NO
CAQH PROVIDER NO
VALUE OPTIONS PROVIDER NO
UNITED PROVIDER NO
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007