| Coleman & Coleman Psc | |
|
419 Town Mt Rd Suite 102 Pikeville KY 41501 | |
| (606) 432-5806 | |
| (606) 432-8174 |
| Full Name | Coleman & Coleman Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 419 Town Mt Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Diana Rogers (SECRETARY) |
| Authorized Official Contact | 6064325806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman & Coleman Psc 419 Town Mt Rd Suite 102 Pikeville KY 41501 Ph: (606) 432-5806 | Coleman & Coleman Psc 419 Town Mt Rd Suite 102 Pikeville KY 41501 Ph: (606) 432-5806 |
| NPI Number | 1134287162 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4880630763 |
|---|---|
| Medicare Enrollment ID | O20050630000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134287162 | NPI | - | NPPES |
| 65919060 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry B Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225104839 PECOS PAC ID: 4981885928 Enrollment ID: I20110223000606 |
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