Individual
DR. KENNETH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3267 S 16TH ST, OHIO BLDG RM 200, MILWAUKEE, WI 53215-4500
(414) 389-3111
(414) 389-3110
Mailing address
3267 S 16TH ST, OHIO BLDG RM 200, MILWAUKEE, WI 53215-4500
(414) 389-3111
(414) 389-3110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2220
WI
Other
Enumeration date
11/02/2007
Last updated
01/18/2017
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