Kevin Coakley MD

NPI 1033166418 - Radiology - 2085R0202X

NPI Details
NPI 1033166418
Gender Male
Enumeration Date 05/30/2006
Last Updated 08/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3050 MONTVALE DR STE A
SPRINGFIELD IL, 62704-6924, US
Phone (217) 726-8096
Fax
Business Location
2040 W ILES AVE
SUITE C
SPRINGFIELD IL, 62704-4183, US
Phone (217) 726-8096
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Illinois
License Number 036088427
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According to our database, Kevin Coakley MD NPI is 1033166418, taxonomy code is 2085R0202X and license number is 036088427, license state is located at Illinois. Kevin Coakley MD physically located at 3050 Montvale Dr Ste A, Springfield IL, 62704-6924. NPI Number Kevin Coakley MD has the Individual type.

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1033166418 NPI number is provided on an as is basis without warranty of any kind. 1033166418 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Coakley MD are for informational purposes only.