Individual
MR. KELLY ALAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1342 E PRIMROSE STREET, SUITE A, SPRINGFIELD, MO 65804-4224
(417) 890-7787
(417) 890-9397
Mailing address
1342 E PRIMROSE STREET, SUITE A, SPRINGFIELD, MO 65804-4224
(417) 890-7787
(417) 890-9397
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2004036179
MO
Other
Enumeration date
06/02/2008
Last updated
07/28/2014
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