KELLY MCCOY
Community Health Worker
Active
Individual
NPI: 1104965060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1104965060 is the National Provider Identifier for KELLY MCCOY, a Community Health Worker provider located in San Mateo, CA. This NPI was enumerated on February 6, 2007.
KELLY MCCOY practices at 2000 ALAMEDA DE LAS PULGAS STE 200, San Mateo, CA 94403.
Quick Facts
- NPI
- 1104965060
- Type
- Individual
- Enumerated
- Feb 6, 2007
- Last Updated
- Jun 30, 2023
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