ALYCIA MARIE COAR
NPI 1689983272
Physician Assistant - Medical in Kingston, PA
Active since September 29, 2010
About Alycia Marie Coar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYCIA MARIE COAR (NPI 1689983272) is an individual medical provider in Kingston, Pennsylvania, licensed in Pennsylvania (MA054641) and active in the NPI registry since September 2010. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1689983272
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYCIA MARIE COAR
Location Address451 3RD AVE STE 1Kingston, PA 18704
Mailing Address5 Kraft StArchbald, PA 18403-1830 · (570) 219-5042
Phone(570) 288-6543
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateAugust 14, 2019
✔ NPI 1689983272 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA054641
451 3RD AVE STE 1, Kingston, PA 18704
Secondary Practice Locations 2
Location 15 S Washington AveJermyn, PA 18433-1121 · Phone (570) 383-9934
Location 21081 Oak StPittston, PA 18640-3716 · Phone (570) 602-7257
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689983272, enumerated as an "individual" on September 29, 2010.
The provider is located at 451 3RD AVE STE 1 KINGSTON, PA 18704 and the phone number is (570) 288-6543.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.