Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARCUS COLEMAN, M.D.
ActiveKELLY MARCUS COLEMAN, M.D. is a Interventional Vascular Surgery healthcare provider located in VANCLEAVE, Mississippi. NPI 1629395454 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · VANCLEAVE, MS
Registration Details
- NPI Number
- 1629395454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2010 (16.289882373066 yrs)
- Last Updated
- Sep 14, 2018
- Licenses
-
25293 (MS)25293 (MS)
Practice Information
- Address
-
6300 E LAKE BLVD STE 201VANCLEAVE, MS, 395656771Browse MS providers · Browse ZIP 39565
- Phone
- 2282302663
- Fax
- 2285463257
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.