Individual
DR. KELSIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
(316) 941-5996
Mailing address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
(316) 941-5996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61673
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61673
LICENSE NUMBER
KS
Enumeration date
07/27/2020
Last updated
07/27/2020
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