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Contact Information

KELLY M COLEMAN, MD
6300 E LAKE BLVD STE 201
VANCLEAVE, MS39565-6771
 Phone: 228-230-2663
 Fax: 228-546-3257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KELLY M COLEMAN · (Male)

NPI # 1629395454
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2010
Last updated 09/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 25293
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
  • SINGING RIVER HOSPITAL - (Acute Care)
    2809 DENNY AV
    PASCAGOULA, MS 39581
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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