KELLY MCCOY NPI 1235705872

NPI Information

  • NPI: 1235705872
  • Provider Name: KELLY MCCOY
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8414 NAAB RD
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 338-7510

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NPI Details

Kelly Mccoy is a mohs-micrographic surgery dermatology in Indianapolis, IN with 5 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Kelly Mccoy NPI is 1235705872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

8414 NAAB RD
INDIANAPOLIS, IN
ZIP 46260-972
Phone: (317) 338-7510
Fax: (317) 338-7515

The NPI 1235705872 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 8/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyMT226575PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramVIRGINIANo
3207ND0101XDermatologyMOHS-Micrographic Surgery01095886AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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