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Organization
WINDY COLE DPM
Active
Organization
WINDY COLE DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINDY COLE DPM (OWNER)
(330) 285-3116
Entity
Organization
Contact information
Practice address
1533 S WATER ST, KENT, OH 44240-4471
(330) 285-3116
Mailing address
1533 S WATER ST, KENT, OH 44240-4471
(330) 285-3116
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003245C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301088
ANTHEM BCBS
OH
05
—
2220715
—
OH
Enumeration date
11/06/2007
Last updated
12/16/2020
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