Kelly Jo Coon M.D.

NPI 1003864703 - Internal Medicine - 207R00000X

NPI Details
NPI 1003864703
Gender Female
Enumeration Date 05/04/2006
Last Updated 04/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4021 AVENUE B
SCOTTSBLUFF NE, 69361-4602, US
Phone (308) 630-2920
Fax
Business Location
3911 AVENUE B
SUITE 2100
SCOTTSBLUFF NE, 69361-4617, US
Phone (308) 630-2920
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Nebraska
License Number 28489
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According to our database, Kelly Jo Coon M.D. NPI is 1003864703, taxonomy code is 207R00000X and license number is 28489, license state is located at Nebraska. Kelly Jo Coon M.D. physically located at 4021 Avenue B, Scottsbluff NE, 69361-4602. NPI Number Kelly Jo Coon M.D. has the Individual type.

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1003864703 NPI number is provided on an as is basis without warranty of any kind. 1003864703 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Jo Coon M.D. are for informational purposes only.