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Individual

DOROTHY COLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1725 ASHLEY CIR, #209A, BOWLING GREEN, KY 42104-3337
(270) 782-9994
Mailing address
208 CHIPPEWA DR, 104B, BOWLING GREEN, KY 42103-1378
(270) 843-0593

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1-0131870
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1107899
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000378816
ANTHEM
KY
05
74010935
KY
Enumeration date
09/19/2005
Last updated
09/11/2025
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