Coleman, Kevin A

Coleman, Kevin A is an individual health care provider with primary practice located at 13131 Tesson Ferry Rd Suite #105, Saint Louis MO 63128-3887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Coleman, Kevin A can be contacted via phone (314) 756-8035.

Contact Information

Primary practice address
13131 Tesson Ferry Rd Suite #105 Saint Louis MO 63128-3887
Fax: (314) 756-8050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 105164 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 105164 Missouri

Profile Details

NPI number 1750360327
LBN Legal business name Coleman, Kevin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jun 24th, 2010 - about 14 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 1750360327 NPPES
Missouri MEDICAID 206944605

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