Individual
MRS. JILL DENISE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 ANN AVE, KANSAS CITY, KS 66101
(816) 861-4700
Mailing address
10223 POLFER LN, KANSAS CITY, KS 66109-4067
(913) 788-8222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-111936-022
KS
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2010037300
MO
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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