Lydia McCoy, RDH
Individual provider Active NPI Dental Hygienist · Baxter Springs, KS
NPI 1194101568 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1194101568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 102022 (KS)
- Practice address
- 2990 Military Ave
Baxter Springs, KS 66713-2331 - Phone
- (620) 856-2900
- Fax
- (620) 856-2901
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102022 | KS | MD | Dental Hygienist |
Interoperability endpoints
- lydia.mccoy@chcsek.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 102022 | KS | Yes |
Addresses
Primary practice location
2990 Military Ave
Baxter Springs, KS 66713-2331
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (888) 777-9170
Other providers in Baxter Springs, KS
- Horses of Hope Riding Center, Inc.
- Jeanna R Keizer
- Legacy Living
- Jamie D Lundy
- Tammy Lux
- Robert McElwee
- Cortney Grace Mellington
- Monarch Pharmacy
- Brooklyn N Price
- Psychsolutions, LLC
All providers in Baxter Springs, KS · Dental Hygienist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.