Coleman, Kevin Glen

Coleman, Kevin Glen is an individual health care provider with primary practice located at 825 N Main St , Canton IL 61520-1264. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Coleman, Kevin Glen can be contacted via phone (309) 647-2610.

Contact Information

Primary practice address
825 N Main St Canton IL 61520-1264
Phone: (309) 647-2610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.037032 Illinois

Profile Details

NPI number 1669129789
LBN Legal business name Coleman, Kevin Glen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2022
Last updated Mar 8th, 2022 - about 2 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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