Individual
LESLIE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5495
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5376709041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420022584
—
MO
Enumeration date
02/13/2015
Last updated
12/09/2020
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