Individual
MR. KEVIN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-2121
(402) 418-4608
Mailing address
320 W 12TH ST, CRETE, NE 68333-2121
(402) 418-4608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1222
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2022
Last updated
07/11/2024
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