Coughlin, Kelly G

Coughlin, Kelly G is an individual health care provider with primary practice located at 6716 Nw 11Th Place Ste 200, Gainesville FL 32605-4215. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Coughlin, Kelly G can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Place Ste 200 Gainesville FL 32605-4215
Phone: (352) 331-9729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109645 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109645 Florida

Profile Details

NPI number 1679923601
LBN Legal business name Coughlin, Kelly G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jul 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679923601 NPPES
Florida Other P01721294 RAILROAD MEDICARE
Florida Other P01721293 RAILROAD MEDICARE
Florida MEDICAID 0206416-00 RAILROAD MEDICARE
Florida Other 5DKRV RAILROAD MEDICARE

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