Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Nicole Coughran

Individual provider Rehabilitation Practitioner · NPI 1679452858

Kaitlyn Nicole Coughran is a Rehabilitation Practitioner in Santa Rosa, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472
Phone: (707) 571-5581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1679452858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

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