Individual
KEVIN WENDELL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
Mailing address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15486265
—
CO
01
—
1710977871
NPI
—
Enumeration date
10/28/2005
Last updated
02/14/2020
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