# WAYNE C COLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cole Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871609842
- **Authorized official:** MRS. SHANNON C LAYTON DO (OFFICE ASSISTANT)
- **Authorized official phone:** (270) 667-2023

## Contact information

- **Practice address:** 121 EAST MAIN ST, PROVIDENCE, KY 42450
- **Practice address phone:** (270) 667-2023
- **Practice address fax:** (270) 667-7518
- **Mailing address:** PO BOX 310, 121 EAST MAIN ST, PROVIDENCE, KY 42450
- **Mailing address phone:** (270) 667-2023
- **Mailing address fax:** (270) 667-7518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01286 | KY | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 07/17/2009