Provider Demographics
NPI:1629145149
Name:COLEMAN, ROBERT LEHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEHN
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7301 MISSION RD
Mailing Address - Street 2:SUITE #240
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3006
Mailing Address - Country:US
Mailing Address - Phone:913-362-0100
Mailing Address - Fax:913-362-2422
Practice Address - Street 1:7301 MISSION RD
Practice Address - Street 2:SUITE #240
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3006
Practice Address - Country:US
Practice Address - Phone:913-362-0100
Practice Address - Fax:913-362-2422
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS418091208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSB69096Medicare UPIN
KS0003240Medicare ID - Type Unspecified