Provider Demographics
NPI:1235391566
Name:COFFIE, RAMONA N (MD)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:N
Last Name:COFFIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2309
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42702-2309
Mailing Address - Country:US
Mailing Address - Phone:270-706-1111
Mailing Address - Fax:270-706-1682
Practice Address - Street 1:1360 ROGERSVILLE RD
Practice Address - Street 2:
Practice Address - City:RADCLIFF
Practice Address - State:KY
Practice Address - Zip Code:40160-9344
Practice Address - Country:US
Practice Address - Phone:270-351-1150
Practice Address - Fax:270-352-5658
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYTP130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine