Coffey, Kenneth Paul

Coffey, Kenneth Paul is an individual health care provider with primary practice located at 825 E Robinson St , Norman OK 73071-6610. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Coffey, Kenneth Paul can be contacted via phone (405) 364-7900.

Contact Information

Primary practice address
825 E Robinson St Norman OK 73071-6610
Phone: (405) 364-7900
Fax: (405) 366-6214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10847 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10847 Oklahoma

Profile Details

NPI number 1679571582
LBN Legal business name Coffey, Kenneth Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 2nd, 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 1679571582 NPPES
Oklahoma Other 300034744 RR MEDICARE
Oklahoma MEDICAID 10010020A RR MEDICARE

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