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Individual

KEVIN J COUGHLIN

Active
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Individual

KEVIN J COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
16127
NE
207Q00000X
Family Medicine Physician
Primary
16127
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07460
BCBS
NE
05
—
10024996800
—
NE
01
—
2863
MIDLANDS CHOICE
NE
Enumeration date
08/07/2007
Last updated
08/08/2007
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