Individual
DR. KATHRYN ELISE COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD STE 400, PHOENIX, AZ 85013-4238
(602) 406-3874
(602) 406-2335
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161961
—
AZ
05
—
1811121403
—
WI
Enumeration date
05/11/2009
Last updated
12/12/2024
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