IndividualActive
Kevin Coles, CSA
NPI 1497050892 · Surgical Technologist · Upper Marlboro, MD
Provider details
- NPI number
- 1497050892
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
14330 Colonel Clagett Ct
Upper Marlboro, MD 20772-2900
Phone: (760) 731-0313
Fax: (760) 731-0414
Approximate (ZIP-level) locationGet directions
Mailing address
14330 Colonel Clagett Ct
Upper Marlboro, MD 20772-2900
Registry dates
- Enumerated
- 2011-01-14
- Last updated
- 2011-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.