Doctor Name: | MRS. CAROL ANN COIRIER |
NPI Number: | 1376502641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 1500198 |
Business Practice Address: | 411 Walnut Cottonwood Falls, KS - 66845 |
Business Phone Number: | 6202736131 |
Business Fax Number: | |
Mailing Address: | Po Box A, COUNCIL GROVE |
State: | KS |
Postal Code: | 668460600 |
Phone Number: | 6207675126 |
Fax Number: | 6207676910 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1500198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |