Individual
KYLE WAYNE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-5522
Mailing address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-5522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37682
IA
207Q00000X
Family Medicine Physician
Primary
53318
TN
208M00000X
Hospitalist Physician
2008021055
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200601800B
—
KS
Enumeration date
04/14/2008
Last updated
07/27/2018
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