Organization
WAYNE C COLE
Active
Other names
Cole Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON C LAYTON DO (OFFICE ASSISTANT)
(270) 667-2023
Entity
Organization
Contact information
Practice address
121 EAST MAIN ST, PROVIDENCE, KY 42450
(270) 667-2023
(270) 667-7518
Mailing address
PO BOX 310, 121 EAST MAIN ST, PROVIDENCE, KY 42450
(270) 667-2023
(270) 667-7518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01286
KY
Other
Enumeration date
08/22/2006
Last updated
07/17/2009
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