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
Fax: (616) 459-0621
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1033159348 NPPES
Michigan MEDICAID 4599036
Michigan Other 900D114840
Michigan Other 5474550001

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