Coffey, Kelly P

Coffey, Kelly P is an individual health care provider with primary practice located at 471 Sipple St , Oceanside CA 92058-8641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Coffey, Kelly P can be contacted via phone (310) 422-1560.

Contact Information

Primary practice address
471 Sipple St Oceanside CA 92058-8641
Phone: (310) 422-1560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101012843 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A19126 California

Profile Details

NPI number 1932137304
LBN Legal business name Coffey, Kelly P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 11th, 2022 - about 4 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 1932137304 NPPES
Michigan Other 2000000002774 PHYSICIANS HEALTH PLAN
Michigan MEDICAID 4902586 PHYSICIANS HEALTH PLAN
Michigan Other 0C31365 PHYSICIANS HEALTH PLAN

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