Individual
KENNETH DONNELL COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 W SHERWOOD AVE, HAMPTON, VA 23663-1403
(757) 775-3732
Mailing address
44 W SHERWOOD AVE, HAMPTON, VA 23663-1403
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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