KELLY G COUGHLIN

DOCTORS IMAGING GROUP LLC

Dr KELLY G COUGHLIN is a female medical professional, specializing in Physician Assistant. She graduated in 2016.

Contact

DOCTORS IMAGING GROUP LLC

6121 SAINT JOHNS AVE
PALATKA
FL
321773889

Tel: 3863260077

KELLY G COUGHLIN Information

Npi 1679923601
Pac Id 6901193465
Professional Enrollment Id I20160927001294
Last Name COUGHLIN
First Name KELLY
Middle Name G
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DOCTORS IMAGING GROUP LLC
Group Practice Pac Id 3476457862
Number Of Group Practice Members 28
Line 1 Street Address 6121 SAINT JOHNS AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PALATKA
State FL
Zip Code 321773889
Phone Number 3863260077
Hospital Affiliation Ccn 1 100204
Hospital Affiliation Lbn 1 NORTH FLORIDA REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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