Coates, Kenneth N

Coates, Kenneth N is an sole proprietor health care provider with primary practice located at 1512 N Union Blvd Suite 100, Colorado Springs CO 80909-2810. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Coates, Kenneth N can be contacted via phone (719) 632-7878.

Contact Information

Primary practice address
1512 N Union Blvd Suite 100 Colorado Springs CO 80909-2810
Fax: (719) 632-2957
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 393 Colorado

Profile Details

NPI number 1376606392
LBN Legal business name Coates, Kenneth N
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Feb 25th, 2008 - about 17 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 1376606392 NPPES
Colorado MEDICAID 01003938

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