Provider Demographics
NPI:1932315751
Name:COLEMAN, MAUREEN A (BSN, RN,DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:A
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:BSN, RN,DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 E 106TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-5028
Mailing Address - Country:US
Mailing Address - Phone:505-850-4376
Mailing Address - Fax:
Practice Address - Street 1:34 E 106TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-5028
Practice Address - Country:US
Practice Address - Phone:505-850-4376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO201729858111NN1001X
NM0841237700000X
NM1338111N00000X
MNR36997163WC1600X
MO2019000712163WP0000X
KS14-148057-042163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No111N00000XChiropractic ProvidersChiropractor
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WP0000XNursing Service ProvidersRegistered NursePain Management