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Individual

KELLY JO COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-2920
Mailing address
3911 AVENUE B, SUITE 2100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2920

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28489
NE
208M00000X
Hospitalist Physician
Primary
24923
NE

Other

Enumeration date
05/04/2006
Last updated
06/12/2018
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