Individual provider · Type 1 NPI
Kimberly Rose Coughlin, MD
Surgery Physician · St. Clair Shores, MI
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
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301109635 (MI) |
| Surgery Physician Primary | 208600000X | 4301506652 (MI) |
| Surgery Physician | 208600000X | 309316 (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
- Christopher E. Lai, MDSurgery Physician St. Clair Shores, MI NPI 1972827871
- Karen L. Summe, MDSurgery Physician St. Clair Shores, MI NPI 1336342278
- Moutamn Sadoun, MDSurgery Physician St. Clair Shores, MI NPI 1528321809
- Shoshana Deann Hallowell, MDSurgery Physician St. Clair Shores, MI NPI 1528371895
Other surgery physician providers in St. Clair Shores
- Afroze Ahmed, MDSurgery Physician St. Clair Shores, MI NPI 1104386044
- Nagalingappa Bhadra Chari, MDSurgery Physician St. Clair Shores, MI NPI 1144232133
- Michael George Taylor, MDSurgery Physician St. Clair Shores, MI NPI 1154363240
- Steven R. Hendrick, MDSurgery Physician St. Clair Shores, MI NPI 1154391381
- Anastasya Chuchulo, MDSurgery Physician St. Clair Shores, MI NPI 1174180327
- Karen L. Summe, MDSurgery Physician St. Clair Shores, MI NPI 1336342278
- Mohammed Sahly, MDSurgery Physician St. Clair Shores, MI NPI 1336546647
- Abdelkader Hawasli, MDSurgery Physician St. Clair Shores, MI NPI 1467502294
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.