Individual
KEVIN JAMES COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1305 SUMNER ST UNIT 300, LONGMONT, CO 80501-3270
(303) 776-4090
Mailing address
16363 LOTHROP CIR, OMAHA, NE 68116-2004
(303) 709-1576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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