Individual
BRIAN KIP COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1901 N HEMMER RD # 110, PALMER, AK 99645-9690
(907) 746-5678
Mailing address
1901 N HEMMER RD # 110, PALMER, AK 99645-9690
(907) 746-5678
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3355
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD1148
—
AK
05
—
PD11481
—
AK
05
—
PD11482
—
AK
05
—
PD11483
—
AK
Enumeration date
03/06/2007
Last updated
11/22/2022
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