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Individual

FREDERICK H COATES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2416 REGENCY RD, STE. 300, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-1574
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-1574

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
21689
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
21689
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000231468
ANTHEM
KY
01
001466485005
UNITED HEALTHCARE
KY
01
050090009
RAILROAD MCR
KY
01
1177921
CHA
KY
01
163663600
DOL
KY
01
50002129
PASSPORT
KY
01
50002129
OHIO BWC
OH
01
611142277
BLUEGRASS FAMILY HEALTH
KY
05
64216898
KY
01
K010972
CHAMPUS
KY
Enumeration date
07/01/2005
Last updated
05/09/2016
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