National Provider Identifier
Kelly Keenan McCoy, RN
Kelly Keenan McCoy, RN is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatric/Mental Health Registered Nurse in Fredonia, NY and a listed phone number of (716) 679-8599.
Profile Overview
- NPI
- 1982331427
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- August 04, 2022
- Last Updated
- August 04, 2022
Practice Location
- 33 Church St Ste 3
- Fredonia, NY 14063-1761
Phone: (716) 679-8599
Mailing Address
- 119 Temple St
- Fredonia, NY 14063-1711
Specialties
- Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X)
Full Record
- NPI
- 1982331427
- Entity Type
- Individual
- Last Name
- McCoy
- First Name
- Kelly
- Middle Name
- Keenan
- Credential
- RN
- Mailing Street Address
- 119 Temple St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1711
- Mailing Country
- US
- Mailing Phone
- (716) 679-8599
- Practice Street Address
- 33 Church St Ste 3
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1761
- Practice Country
- US
- Practice Phone
- (716) 679-8599
- Enumeration Date
- August 04, 2022
- Last Updated
- August 04, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X)