Individual
KENNETH N COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1512 N UNION BLVD, SUITE 100, COLORADO SPRINGS, CO 80909-2810
(719) 632-7878
(719) 632-2957
Mailing address
1512 N UNION BLVD, SUITE 100, COLORADO SPRINGS, CO 80909-2810
(719) 632-7878
(719) 632-2957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
393
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01003938
—
CO
Enumeration date
12/19/2006
Last updated
02/25/2008
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