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Contact Information

KYLE W COFFMAN, MD
290 NE TUDOR RD
LEE'S SUMMIT, MO64086-5696
 Phone: 816-524-5522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KYLE W COFFMAN · (Male)

NPI # 1992979785
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2008
Last updated 07/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 37682
  • MO License # 2008021055
  • TN License # 53318
  • KS Medicaid 200601800B
Hospital affiliation(s)
  • LEE'S SUMMIT MEDICAL CENTER - (Acute Care)
    2100 SE BLUE PARKWAY
    LEES SUMMIT, MO 64063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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