Individual
KIMBERLY D COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
588710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186003301
—
TX
01
—
186003302
CSHCN
TX
01
—
8Y1420
BCBS
TX
Enumeration date
01/22/2007
Last updated
09/02/2016
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