Dr. Kevin Martin Mccoy
Orthodontists
719 17th St
Jackson
, Michigan 49203-1409
Dr. Kevin Martin Mccoy
Orthodontists
719 17th St
Jackson
, Michigan 49203-1409
(773) 286-5935
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Kevin Martin Mccoy
- 1846 W Henderson St
- Chicago, IL
- Zip : 60657-2015
- Phone : (773) 286-5935
Second Address
- Dr. Kevin Martin Mccoy
- 719 17th St
- Jackson, MI
- Zip : 49203-1409
- Phone : (517) 782-2439
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 2901017848 | MI |
National Provider Identifier
| NPI | 1033320031 |
|---|---|
| Provider Name | Dr. Kevin Martin Mccoy |
| First Address | Chicago, IL 60657-2015 |
| Second Address | Jackson, MI 49203-1409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1962416875 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.