SearchMaryland246ZS0410X

Kevin Coles, CSA

NPI 1497050892 · on the registry since 2011 · sole proprietor

Practice

Address
14330 Colonel Clagett Ct
Upper Marlboro, MD 20772
Phone
(760) 731-0313
Fax
(760) 731-0414

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-14

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 Maryland