Individual
DR. KEVIN A COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13131 TESSON FERRY RD, SUITE #105, SAINT LOUIS, MO 63128-3887
(314) 756-8035
(314) 756-8050
Mailing address
13131 TESSON FERRY RD, SUITE #105, SAINT LOUIS, MO 63128-3887
(314) 756-8035
(314) 756-8050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
105164
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
105164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206944605
—
MO
Enumeration date
01/12/2006
Last updated
06/24/2010
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