Individual
ANGELA COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3516 LAKESIDE CT, SOMERSET, KY 42503-9569
(606) 310-1987
Mailing address
3516 LAKESIDE CT, SOMERSET, KY 42503-9569
(606) 310-1987
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4012104
KY
Other
Enumeration date
11/13/2023
Last updated
11/21/2023
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