Organization
KENNETH N COATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH N COATES (OWNER)
(719) 632-7878
Entity
Organization
Contact information
Practice address
1512 N UNION BLVD, STE 100, COLORADO SPGS, CO 80909-2884
(719) 632-7878
Mailing address
1512 N UNION BLVD, STE 100, COLORADO SPGS, CO 80909-2884
(719) 632-7878
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
393
CO
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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