# COLEMAN & COLEMAN PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134287162
- **Authorized official:** DIANA ROGERS (SECRETARY)
- **Authorized official phone:** (606) 432-5806

## Contact information

- **Practice address:** 419 TOWN MT RD, SUITE 102, PIKEVILLE, KY 41501
- **Practice address phone:** (606) 432-5806
- **Practice address fax:** (606) 432-8174
- **Mailing address:** 419 TOWN MT RD, SUITE 102, PIKEVILLE, KY 41501
- **Mailing address phone:** (606) 432-5806
- **Mailing address fax:** (606) 432-8174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65919060 | — | KY |