NPI 1033166418

Kevin Coakley, MD

Practitioner Diagnostic Radiology Physician Springfield, IL

Practice location

Address: 3050 Montvale Dr STE a, Springfield, IL 62704-6924
Phone: (217) 726-8096
Mailing address: 2040 W Iles Ave Suite C, Springfield, IL 62704-4183

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036088427 (IL)

Other Radiology providers in Illinois →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 2009009827 (MO)

Registry record

NPI: 1033166418
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 10 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.