Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD00013887 | WA |
NPI | 1447476056 |
---|---|
Provider Name | Kenneth Hunt Coleman |
First Address | Spokane, WA 99201-0405 |
Second Address | Dayton, WA 99328-1606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |