Kenneth Doyle Coburn, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD-064027-L Issued in PA

Practice address

875 N Easton Rd
Suite 10
Doylestown, PA 18902-1068

Phone

(267) 880-1733

Fax

(267) 880-1739

NPI assigned

Sep 2, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Quality Partners

  • Case Manager/Care Coordinator
  • Doylestown, PA
  • NPI 1093736191
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1447483862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HONEYMAN RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203820",
            "telephone_number": "908-432-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N EASTON RD",
            "address_2": "SUITE 10",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021068",
            "telephone_number": "267-880-1733",
            "fax_number": "267-880-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "KENNETH",
        "middle_name": "DOYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166778",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD-064027-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison F Clarke, OD
• Joshua Clifford
• Clinical Specialty Associates
• Lauren M Clouser, LSW
• CMC Eyecare, LLC
• Kieran Daniel Cody, M.D.
• Erin Marie Colden, AGPCNP-BC
• Caitlin Carroll Cole, PHD
• Delaney Jae Cole, LAT, ATC
• Daniel Joseph Coletta, MD

• Public Health & General Preventive Medicine Physician in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Public Health & General Preventive Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.