Coughlin, Kimberly Rose

Coughlin, Kimberly Rose is an individual health care provider with primary practice located at 29000 Little Mack Ave Ste B , Saint Clair Shores MI 48081-3018. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Coughlin, Kimberly Rose can be contacted via phone (586) 774-8811.

Contact Information

Primary practice address
29000 Little Mack Ave Ste B Saint Clair Shores MI 48081-3018
Phone: (586) 774-8811
Fax: (586) 541-0199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301109635 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301506652 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 309316 New York

Profile Details

NPI number 1356791636
LBN Legal business name Coughlin, Kimberly Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 21st, 2022 - about 3 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.

Request for update

Popular Providers