Individual
DR. KELLY K. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25949
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3937
MEDICARE GROUP NUMBER
—
05
—
64259492
—
KY
Enumeration date
02/15/2006
Last updated
06/02/2016
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