Individual provider · Type 1 NPI

Kimberly Rose Coughlin, MD

Surgery Physician · St. Clair Shores, MI

NPI number 1356791636 Active

Practice location

29000 Little Mack Ave Ste B
St. Clair Shores, MI 48081-3018

Fax (586) 541-0199

Mailing address

22101 Moross Rd
Detroit, MI 48236-2148

Other practice locations

  • 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 · (212) 305-0519
  • 22101 Moross Rd, Detroit, MI 48236-2148 · (313) 343-3878

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X4301109635 (MI)
Surgery Physician Primary 208600000X4301506652 (MI)
Surgery Physician 208600000X309316 (NY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

4 other providers at this address

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About NPI 1356791636

Kimberly Rose Coughlin, MD's National Provider Identifier is 1356791636, issued on Jun 16, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jun 21, 2022.