Misty Coleman

NPI 1619167616 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1619167616
Gender Female
Enumeration Date 07/26/2007
Last Updated 07/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
223 BEDFORD ST
GARDNER KS, 66030-1185, US
Phone (615) 896-6400
Fax
Business Location
314 CREEKSIDE CT
GARDNER KS, 66030-1776, US
Phone (913) 424-4203
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Kansas
License Number 2547
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According to our database, Misty Coleman NPI is 1619167616, taxonomy code is 235Z00000X and license number is 2547, license state is located at Kansas. Misty Coleman physically located at 223 Bedford St, Gardner KS, 66030-1185. NPI Number Misty Coleman has the Individual type.

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1619167616 NPI number is provided on an as is basis without warranty of any kind. 1619167616 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Coleman are for informational purposes only.