Coan, Kathryn Elise

Coan, Kathryn Elise is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 400 , Phoenix AZ 85013-4238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Coan, Kathryn Elise can be contacted via phone (414) 805-5020.

Contact Information

Primary practice address
500 W Thomas Rd Ste 400 Phoenix AZ 85013-4238
Phone: (414) 805-5020
Fax: (414) 805-5771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 63910 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 63910 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 43314 Arizona

Profile Details

NPI number 1811121403
LBN Legal business name Coan, Kathryn Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated Jul 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811121403 NPPES
Arizona MEDICAID 161961
Arizona MEDICAID 1811121403

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