Coon, Kiersten
Coon, Kiersten is an individual health care provider with primary practice located at 144 Monroe Center St Nw , Grand Rapids MI 49503-2802. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Coon, Kiersten can be contacted via phone (616) 459-0641.Contact Information
Primary practice address
144 Monroe Center St Nw
Grand Rapids MI 49503-2802
Phone: (616) 459-0641
Fax: (616) 459-0621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901004219 | Michigan |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4901004219 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004219 | Michigan |
Profile Details
| NPI number | 1033159348 |
|---|---|
| LBN Legal business name | Coon, Kiersten |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 25th, 2013 - about 12 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 | 1033159348 | NPPES |
| Michigan | MEDICAID | 4599036 | |
| Michigan | Other | 900D114840 | |
| Michigan | Other | 5474550001 |
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