Individual
DR. KEVIN SHAWN COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6009 NW 68TH TER, KANSAS CITY, MO 64151-1611
(816) 741-3800
(816) 741-1537
Mailing address
6009 NW 68TH TER, KANSAS CITY, MO 64151-1611
(816) 741-3800
(816) 741-1537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05111
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29442011
BLUE SHIELD KANSAS CITY
MO
01
—
458250
BLUE SHIELD KANSAS
KS
Enumeration date
07/19/2006
Last updated
08/13/2008
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