Kelly a. McCoy DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005013008 Issued in MO

Legal business name

KELLY A. MCCOY DC, LLC

Practice address

8900 Lackland Rd
Overland, MO 63114-5407

Phone

(314) 428-2225

Fax

(314) 428-3819

NPI assigned

Jun 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Ann McCoy, DC

Title

Owner

Phone

(314) 428-2225

Specialties & licenses 1

Addresses

Other names 1

• Overland Chiropractic Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003011305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 LACKLAND RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145407",
            "telephone_number": "314-428-2225",
            "fax_number": "314-428-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 LACKLAND RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145407",
            "telephone_number": "314-428-2225",
            "fax_number": "314-428-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A. MCCOY DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-428-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005013008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overland Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Johnson
• Bry'Anna Jones
• Jamia Jordan, DC
• Heather Julius
• Chloe Kaltenbronn, RBT
• Kennedy Kiehn
• Amy Koehler, RBT
• Gregory Kraner, DDS
• Dorah Adel Langford, DR
• Illona Lynn Lewis

• Chiropractor in Overland, MO
• Providers in Overland, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.