Kenneth Coleman, MA

NPI 1336264217 · on the registry since 2007 · sole proprietor

Practice

Address: 22101 Moross Rd
Detroit, MI 48236
Phone: (313) 343-7307
Fax: (313) 343-7801
Organisation at this address: Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 504

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan