MCCOY PRIMARY CARE LLC NPI 1659938983

NPI Information

  • NPI: 1659938983
  • Provider Name: MCCOY PRIMARY CARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 18D2172984
  • Address: 141 PARKWAY DR
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 348-4757

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NPI Details

MCCOY PRIMARY CARE LLC is a family nurse practitioner in Bardstown, KY. MCCOY PRIMARY CARE LLC NPI is 1659938983. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

141 PARKWAY DR
BARDSTOWN, KY
ZIP 40004-220
Phone: (502) 348-4757
Fax: (502) 348-4755

The provider's authorized official is Beth A Mccoy .
The authorized official title is Owner and has the following contact phone number (502) 348-4757.

The CLIA number assigned to this NPI record is 18D2172984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2019 and was last updated on 3/31/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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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