Individual
KATHLEEN M COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 BOWMAN DR STE E355, VOORHEES, NJ 08043-9643
(856) 247-7210
(856) 247-7511
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB10389100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0642932
—
NJ
05
—
1528328051
—
NC
05
—
NC2846
—
SC
Enumeration date
05/17/2012
Last updated
10/16/2024
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