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Individual

MRS. LELA KRISTINE COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
110 S 9TH ST, MAYFIELD, KY 42066-2208
(270) 247-7795
(270) 247-9013
Mailing address
110 S 9TH ST, MAYFIELD, KY 42066-2208
(270) 247-7795
(270) 247-9013

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6289P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000644605
ANTHEM BCBS
KY
05
7100110690
KY
Enumeration date
12/04/2009
Last updated
05/20/2015
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