Individual
DR. NICOLE RENEE COFFEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 761-7109
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
395
NE
231H00000X
Audiologist
Primary
395
NE
Other
Enumeration date
08/06/2020
Last updated
09/11/2023
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