Individual
MR. HENRY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 WINCHESTER AVE APT 761, ASHLAND, KY 41101-2076
(606) 393-5125
Mailing address
3101 WINCHESTER AVE APT 761, ASHLAND, KY 41101-2076
(606) 393-5125
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2732252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732252
—
OH
Enumeration date
01/02/2008
Last updated
01/02/2008
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