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Individual

KEVIN J COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2120 S 56TH ST STE 102, LINCOLN, NE 68506-2118
(402) 488-6100
(402) 488-6210
Mailing address
2120 S 56TH ST STE 102, LINCOLN, NE 68506-2118
(402) 488-6100
(402) 488-6210

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
16127
NE
207Q00000X
Family Medicine Physician
Primary
16127
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07460
BCBS
NE
05
10024996800
NE
01
2863
MIDLANDS CHOICE
NE
Enumeration date
08/07/2007
Last updated
08/08/2007
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