NPI Profile for CHELSIE COFFMAN in KLAWOCK, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1922634047 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 03/20/2020 | |
| Last updated | 11/19/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHELSIE COFFMAN
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