Individual
MRS. ELAINE M, COULSON
Active
Individual
MRS. ELAINE M, COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1338469061
KS
363AM0700X
Medical Physician Assistant
Primary
1500532
KS
Other
Enumeration date
07/17/2006
Last updated
08/10/2011
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