Individual
KIMBERLY D. COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3100 MACCORKLE AVE SE STE 900, CHARLESTON, WV 25304-1223
(304) 388-5880
(304) 388-5858
Mailing address
3100 MACCORKLE AVE SE STE 900, CHARLESTON, WV 25304-1223
(304) 388-5880
(304) 388-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN70668
WV
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN70668-AGPCNP-BC
WV
Other
Enumeration date
04/14/2017
Last updated
03/08/2020
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