Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101243787 | VA |
N | 207X00000X | Orthopaedic Surgeon | 2011-01365 | NC |
N | 207X00000X | Orthopaedic Surgeon | MD049632 | TN |
N | 207X00000X | Orthopaedic Surgeon | MD426809 | PA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2011-01365 | NC |
NPI | 1235129487 |
---|---|
Provider Name | Dr. Kevin Emerson Coates |
First Address | Charlotte, NC 28260-2658 |
Second Address | Winston Salem, NC 27103-2508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 19/09/2016 |