Coleman, Kelli Ann
Coleman, Kelli Ann is an individual health care provider with primary practice located at 690 N Cofco Center Ct Suite 260, Phoenix AZ 85008-6462. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Coleman, Kelli Ann can be contacted via phone (602) 279-6905.Contact Information
Primary practice address
690 N Cofco Center Ct Suite 260
Phoenix AZ 85008-6462
Phone: (602) 279-6905
Fax: (888) 445-4263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 3119 | Arizona |
Profile Details
| NPI number | 1316935687 |
|---|---|
| LBN Legal business name | Coleman, Kelli Ann |
| Credentials | OTRL CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316935687 | NPPES |
| Arizona | Other | Z113264 | MEDICARE GROUP |
| Arizona | MEDICAID | 886260 | MEDICARE GROUP |
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