Individual
PAMELA R KING-COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1648 BRENTNELL AVE, COLUMBUS, OH 43219-1202
(614) 966-0679
Mailing address
1648 BRENTNELL AVE, COLUMBUS, OH 43219-1202
(614) 966-0679
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RK554560
DRIVERS LICENSE
OH
Enumeration date
12/27/2022
Last updated
12/27/2022
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