Active NPIIndividual providerSole proprietor

Dr. Kellie Coleman, DC, MSN, FNP-C

Nurse Practitioner in New London, Connecticut

NPI Number1659865665
Practice location
6 Shaws Cv, New London, CT 06320-4969
Fax
—
Last updated
March 23, 2022

Kellie Coleman is a Nurse Practitioner based in New London, CT. Kellie Coleman practices in New London, CT and has the professional credentials of DC, MSN, FNP-C. The NPI Number for Kellie Coleman is 1659865665 and holds a License No. 2118 (CT). The current practice location address for Kellie Coleman is 6 Shaws Cv, New London, CT 06320-4969 and can be reached out via phone at 866-808-7921.

Provider Profile Details

NPI Number
1659865665
Provider Name
Kellie Coleman
Credential
DC, MSN, FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6 Shaws Cv, New London, CT 06320-4969
Phone Number
866-808-7921
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2018
Last Update Date
March 23, 2022
Certification Date
March 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Shaws Cv
New London, CT 06320-4969
Zip
06320-4969
Phone Number
866-808-7921
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
6 Shaws Cv
New London, CT 06320-4969
City
New London
State
CT
Zip
06320-4969

License Information

License Number (1)
2118
License State (1)
CT
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
9164
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
9164
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kellie Coleman, DC, MSN, FNP-C?

The NPI number of Dr. Kellie Coleman, DC, MSN, FNP-C is 1659865665. It was assigned on June 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Kellie Coleman, DC, MSN, FNP-C?

Dr. Kellie Coleman, DC, MSN, FNP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 2118.

Where does Dr. Kellie Coleman, DC, MSN, FNP-C practice?

The practice location is 6 Shaws Cv, New London, CT 06320-4969. The office can be reached at 866-808-7921 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659865665 directly on the NPPES registry website.

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