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Contact Information

KELLY A COLEMAN, PT
1342 E PRIMROSE STREET
SUITE A
SPRINGFIELD, MO65804-4224
 Phone: 417-890-7787
 Fax: 417-890-9397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

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

NPI Number 1982863353
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/02/2008
Last updated 07/28/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2004036179
Hospital affiliation(s) Not Available
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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