MARY COLEMAN
NPI 1790199339
Licensed Practical Nurse in Kennett, MO

Active since June 11, 2014

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About MARY COLEMAN

This page provides the complete NPI Profile along with additional information for Mary Coleman, a provider established in Kennett, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1790199339 assigned on June 2014. The practitioner's primary taxonomy code is 164W00000X with license number 2009026145 (MO). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1790199339 Verify this NPI
Provider Name
MARY COLEMAN
Gender
Female
Entity Type
Individual
Location Address
925 HWY VV KENNETT, MO 63857
Location Phone
(573) 888-5925
Mailing Address
925 HWY VV KENNETT, MO 63857
Is Sole Proprietor?
No
Enumeration Date
06-11-2014
Last Update Date
06-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
2009026145
License State
MO
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Licensed Practical Nurse
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Licensed Practical Nurse
925 HWY VV
KENNETT, MO 63857
Technician, Other
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Licensed Practical Nurse
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Behavior Technician
925 HWY VV
KENNETT, MO 63857
Behavior Technician
925 HWY VV
KENNETT, MO 63857
Counselor (Mental Health)
925 HWY VV
KENNETT, MO 63857
Behavior Technician
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Case Manager/Care Coordinator
925 HWY VV
KENNETT, MO 63857
Physician Assistant
925 HWY VV
KENNETT, MO 63857
Behavior Technician
925 HWY VV
KENNETT, MO 63857
Technician
925 HWY VV
KENNETT, MO 63857
Technician
925 HWY VV
KENNETT, MO 63857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790199339, enumerated as an "individual" on June 11, 2014.

The provider is located at 925 HWY VV KENNETT, MO 63857 and the phone number is (573) 888-5925.

Licensed Practical Nurse with taxonomy code 164W00000X.