Individual
KELLY ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7977
(651) 254-7990
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002268A
IN
363A00000X
Physician Assistant
Primary
15362
MN
Other
Enumeration date
08/03/2017
Last updated
12/23/2025
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