Organization
DR. KERRY L. KOLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L KOLE DO (PRESIDENT)
(248) 684-6656
Entity
Organization
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(248) 967-7136
(248) 684-1390
Mailing address
5086 STONEHENGE DR, ROCHESTER HILLS, MI 48306-2652
(248) 684-6656
(248) 684-1390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4578920
—
MI
Enumeration date
05/04/2008
Last updated
07/02/2008
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