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Individual

JAMES KENNETH COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 E COUNTY LINE RD, SUITE 200, INDIANAPOLIS, IN 46227-1000
(317) 497-2130
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01050980A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01050980A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200238720
IN
01
P01424292
RR MEDICARE
IN
Enumeration date
07/01/2005
Last updated
07/24/2024
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