Individual
RICHARD KEVIN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15524
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123929
—
MS
05
—
009949330
—
AL
01
—
300117868
RAILROAD MEDICARE
MS
01
—
P00968040
RR MCR
MS
Enumeration date
06/12/2006
Last updated
10/09/2023
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