Individual
KYLE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
2325 TIMONEY LN, RENO, NV 89503-2259
(775) 224-5766
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R6746
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/27/2023
Last updated
07/01/2025
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