Individual
KIMBERLY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 722-4842
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
71005881B
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
95033625
CA
Other
Enumeration date
10/21/2015
Last updated
04/08/2025
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