Shirley Johnson Coleman, RT
Radiologic Technologist, Cardiovascular-Interventional Technology in Kansas City, MO. Individual provider (NPI-1).
NPI number1407023195
StatusActive
Last updated in NPPESMay 12, 2008
Details
- NPI
- 1407023195
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shirley Johnson Coleman
- Credential
- RT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2008
- Last updated
- May 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C1101X | Radiologic Technologist, Cardiovascular-Interventional Technology | 151431 | LA | Yes |
Practice location
4801 E Linwood BlvdCardiac Cath Lab
Kansas City, MO 64128-2226
Phone 816-861-4700 · Fax 816-922-3324
Mailing address
624 W 70th TerKansas City, MO 64113-2051
Phone 816-268-4874
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