Individual
KIERAN M COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
7140 PORT SYLVANIA DR, #600, TOLEDO, OH 43617-1176
(419) 843-8178
(419) 843-8698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002597
OH
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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