Kelly M Cole is a Nurse Practitioner in Peoria, Illinois. Kelly M Cole practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly M Cole is 1508978263. The last update date is 2023-10-27.
Kelly M Cole's current location address is 10326 N Juliet Ct Ste A, Peoria, Illinois. You can contact this provider via phone number 3095701016 and fax number 3095701017. The mailing address for Kelly M Cole is 10326 N Juliet Ct Ste A, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly M Cole |
|---|---|
| Address | 10326 N Juliet Ct Ste A, Peoria, Illinois |
| Phone Number | 3095701016 |
| Fax Number | 3095701017 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1508978263 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-10-27 |
Provider Mailing Address Detail
| Address | 10326 N Juliet Ct Ste A |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616151116 |
| Phone Number | 3095701016 |
| Fax Number | 3095701017 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 277002673 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1609657980 | NP WOMEN'S HEALTH PLLC |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly M Cole by the Centers for Medicare & Medicaid Services?
The Kelly M Cole has been assigned the NPI (National Provider Identifier) 1508978263. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly M Cole?
The Kelly M Cole is situated at 10326 N Juliet Ct Ste A, in the city of Peoria, state of IL, with the zip code 616151116.
What is Kelly M Cole's area of expertise and its corresponding taxonomy classification?
The Kelly M Cole's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1508978263 to Kelly M Cole?
The Kelly M Cole received its 1508978263 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information pertaining to Kelly M Cole most recently updated or revised?
The details related to Kelly M Cole, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-27.