Organization
COFFMAN FAMILY CARE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA COFFMAN (OWNER)
(270) 256-5911
Entity
Organization
Contact information
Practice address
1221 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 256-5911
Mailing address
1000 THOMPSON DR, BEAVER DAM, KY 42320-9152
(270) 256-5911
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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