Kelley Coggin, CRNA | |
500 Porter Ave, Aurora, MO 65605-2365 | |
(417) 678-7800 | |
Not Available |
Full Name | Kelley Coggin |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 500 Porter Ave, Aurora, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093173767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2016003736 (Missouri) | Primary |
Entity Name | Mercy Hospital Aurora |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
Entity Name | Ozark Anesthesia Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
Entity Name | Mercy Hospital Aurora |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261 |
Entity Name | Mercy Hospital Cassville |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20100118000033 |
Mailing Address | Practice Location Address |
---|---|
Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800 | Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800 |
Mr. Darrell Eugene Meredith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-2122 | |
Dr. Joseph Vancamp, M.D. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-887-5568 Fax: 417-883-5514 |