Coffman, Kyle Wayne

Coffman, Kyle Wayne is an individual health care provider with primary practice located at 290 Ne Tudor Rd , Lees Summit MO 64086-5696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Coffman, Kyle Wayne can be contacted via phone (816) 524-5522.

Contact Information

Primary practice address
290 Ne Tudor Rd Lees Summit MO 64086-5696
Phone: (816) 524-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37682 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2008021055 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53318 Tennessee

Profile Details

NPI number 1992979785
LBN Legal business name Coffman, Kyle Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Jul 27th, 2018 - about 6 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 1992979785 NPPES
Kansas MEDICAID 200601800B

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