Individual
DR. KELLY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2495
Mailing address
1333 E NORTHSIDE DR, JACKSON, MS 39211-5604
(918) 521-6155
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
636--L
MS
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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