Individual
KELLEY COGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7800
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016003736
MO
Other
Enumeration date
02/09/2016
Last updated
07/26/2021
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