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Individual
DR. COLE S CONDRA
Active
Individual
DR. COLE S CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-32974
KS
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
04-32974
KS
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
38540
KY
Other
Enumeration date
12/02/2005
Last updated
10/27/2015
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