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

Kelly Coker, DO

Individual provider Family Medicine Physician · NPI 1063037000

Kelly Coker, DO is a Family Practice in Tucson, Arizona. Qualified in 2020, 6 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

655 N Alvernon Way Ste 228
Tucson, AZ 85711-1853
Phone: (520) 626-7864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 413 S Loop Rd, Edgewood, KY 41017-5446 — (859) 301-3800
  • 2817 New Pinery Rd, Portage, WI 53901-9240 — (608) 745-5145

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81246-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01321565 (WI)

Record details

NPI number1063037000
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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