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NPI Profile for KELSEY W MCCOY in LEBANON, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1689043952 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 09/17/2015 | |
| Last updated | 03/17/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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KELSEY W MCCOY
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KELSEY W MCCOY, PA