Coral Molina, DO
Family Medicine in Bolivar, MO. Individual provider (NPI-1).
NPI number1407433360
StatusActive
Last updated in NPPESOct 2, 2025
Details
- NPI
- 1407433360
- Entity type
- Individual (NPI-1)
- Name
- Coral Molina
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Oct 2, 2025
- Last updated
- Oct 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2024015222 | MO | Yes |
| 207Q00000X | Family Medicine | LL83525 | SC |
Practice location
1500 N Oakland AveBolivar, MO 65613-3099
Phone 417-326-6000
Mailing address
1500 N Oakland AveBolivar, MO 65613-3099
Other practice locations
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Kansas City, MO 64139-1236
Phone 816-404-9597
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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