Individual
KIM L COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
Mailing address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
20498
NE
2085R0202X
Diagnostic Radiology Physician
20498
NE
2085R0202X
Diagnostic Radiology Physician
Primary
9900801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03145
BLUE CROSS BLUE SHIELD
NE
01
—
03886
BCBS
NE
05
—
0550236
—
IA
05
—
100366310A
—
KS
01
—
281978
AMI MEDICARE PIN
NE
01
—
300113527
RR MEDICARE
NE
05
—
47078180813
—
NE
01
—
NA1330018
SMI MEDICARE PIN
NE
Enumeration date
06/02/2006
Last updated
05/05/2025
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