Provider Demographics
NPI:1144545112
Name:COATES, NANCY RAE (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:RAE
Last Name:COATES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:114 W GREGORY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-1148
Mailing Address - Country:US
Mailing Address - Phone:816-523-4600
Mailing Address - Fax:816-523-4724
Practice Address - Street 1:114 W GREGORY BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-1148
Practice Address - Country:US
Practice Address - Phone:816-523-4600
Practice Address - Fax:816-523-4724
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2014-05-12
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Provider Licenses
StateLicense IDTaxonomies
MO2002002003208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice