Kelly J Coughlin, is a
Dietitian, Registered based in Staples, Minnesota. Kelly J Coughlin is licensed to practice in Minnesota (license number 1578) and her current practice location is
49725 County 83, Staples, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 894-1515.
NPI number for Kelly J Coughlin is 1124018676 and her current mailing address is 49725 County 83, Staples, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124018676.
Healthcare Provider's Profile
Full Name | Kelly J Coughlin |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 49725 County 83, Staples, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124018676
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kelly J Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124018676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1578 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly J Coughlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly J Coughlin, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Kelly J Coughlin, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
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