Individual
KELLY FAYE COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14468 N 66TH EAST AVE, COLLINSVILLE, OK 74021-4732
(970) 210-4380
Mailing address
14468 N 66TH EAST AVE, COLLINSVILLE, OK 74021-4732
(970) 210-4380
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
217388
OK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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