Kerry L Kole in Traverse City - Surgery

Kerry L Kole - NPI 1912996166

Kerry L Kole is a Surgery in Traverse City, Michigan. Kerry L Kole practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kerry L Kole is 1912996166. The last update date is 2020-10-22.

Kerry L Kole's current location address is 1105 Sixth St, Traverse City, Michigan. You can contact this provider via phone number 2319357514 and fax number 2313920039. The mailing address for Kerry L Kole is 1105 Sixth St, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry L Kole
Address 1105 Sixth St, Traverse City, Michigan
Phone Number 2319357514
Fax Number 2313920039
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1912996166
Provider Enumeration Date 2005-10-20
Last Updated Date 2020-10-22

Provider Mailing Address Detail

Address 1105 Sixth St
City Traverse City
State Michigan (MI)
Post Code 496842345
Phone Number 2319357514
Fax Number 2313920039

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 5101012055
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1134176472 MI PRACTICE NPI
4604280 MI --
4578920 MI --
5821108 MI BCBSM PIN NUMBER

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FAQs about Kerry L Kole

What is the unique 10-digit identification code issued to Kerry L Kole by the Centers for Medicare & Medicaid Services?

The Kerry L Kole has been assigned the NPI (National Provider Identifier) 1912996166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kerry L Kole is physically located?

The Kerry L Kole is physically situated at the following address: 1105 Sixth St, Traverse City, MI, 496842345.

What is Kerry L Kole's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kerry L Kole's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912996166 to Kerry L Kole?

The Centers for Medicare & Medicaid Services assigned the 1912996166 to Kerry L Kole on 2005-10-20.

As of what date was the information pertaining to Kerry L Kole, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kerry L Kole, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-22.

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