| Kelley Coggin, CRNA | |
| 
					500 Porter Ave, Aurora, MO 65605-2365  | |
| (417) 678-7800 | |
| Not Available | 
| Full Name | Kelley Coggin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 500 Porter Ave, Aurora, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093173767 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2016003736 (Missouri) | Primary | 
| Entity Name | Mercy Hospital Aurora | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335  | 
| Entity Name | Ozark Anesthesia Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614  | 
| Entity Name | Mercy Hospital Aurora | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20061104000261  | 
| Entity Name | Mercy Hospital Cassville | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20100118000033  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800  | Kelley Coggin, CRNA 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7800  | 
Mr. Darrell Eugene Meredith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-2122  | |
Dr. Joseph Vancamp, M.D. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-887-5568 Fax: 417-883-5514  |