Erin Makenzie Coffman
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Vassar, KS
NPI 1982122297 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1982122297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 22481 Lakeview PT
Vassar, KS 66543-9131 - Phone
- (785) 379-1174
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
22481 Lakeview PT
Vassar, KS 66543-9131
Mailing address
22481 Lakeview PT
Vassar, KS 66543-9131
Other providers in Vassar, KS
All providers in Vassar, KS · Student in an Organized Health Care Education/Training Program in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.