Individual
DR. KEVIN GERARD COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
194 GROTON RD, FREEVILLE, NY 13068-9413
(607) 844-8566
Mailing address
194 GROTON RD, FREEVILLE, NY 13068-9413
(607) 844-8566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13054-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000151193
EXCELLUS BC/BS
NY
Enumeration date
09/20/2006
Last updated
06/25/2008
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