Kevin L Coleman CRNA

NPI 1023045192 - Registered Nurse - 163W00000X

NPI Details
NPI 1023045192
Gender Male
Enumeration Date 06/26/2006
Last Updated 11/20/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
811 N LIBERTY ST
BOISE ID, 83704-8703, US
Phone (208) 323-4522
Fax
Business Location
PO BOX 4008
PORTLAND OR, 97208-4008, US
Phone (503) 372-2740
Fax (503) 372-2754
Toxanomy
Taxonomy Code 163W00000X
License State Idaho
License Number N22476
Remove 1023045192 NPI Number
 

According to our database, Kevin L Coleman CRNA NPI is 1023045192, taxonomy code is 163W00000X and license number is N22476, license state is located at Idaho. Kevin L Coleman CRNA physically located at 811 N Liberty St, Boise ID, 83704-8703. NPI Number Kevin L Coleman CRNA has the Individual type.

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1023045192 NPI number is provided on an as is basis without warranty of any kind. 1023045192 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin L Coleman CRNA are for informational purposes only.