Individual
KYLE GRIFFEN COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5 POLARIS RD, BLACKWOOD, NJ 08012-2422
(267) 408-1331
Mailing address
5 POLARIS RD, BLACKWOOD, NJ 08012-2422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR23069200
NJ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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