Kim G Cole in Lakeland - Medical

Kim G Cole - NPI 1669453221

Kim G Cole is a Medical in Lakeland, Florida. Kim G Cole practices all healthcare services and medical treatments related to Medical. The NPI Number for Kim G Cole is 1669453221. The last update date is 2011-04-20.

Kim G Cole's current location address is 202 Lake Miriam Dr Ste S1, Lakeland, Florida. You can contact this provider via phone number 8636472333 and fax number 8636446729. The mailing address for Kim G Cole is 202 Lake Miriam Dr Ste S1, Lakeland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim G Cole
Address 202 Lake Miriam Dr Ste S1, Lakeland, Florida
Phone Number 8636472333
Fax Number 8636446729
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1669453221
Provider Enumeration Date 2005-11-10
Last Updated Date 2011-04-20

Provider Mailing Address Detail

Address 202 Lake Miriam Dr Ste S1
City Lakeland
State Florida (FL)
Post Code 338132188
Phone Number 8636472333
Fax Number 8636446729

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA 2993
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA2993 FL STATE LICENSE
10679201 FL CITRUS HEALTHCARE

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FAQs about Kim G Cole

What is the unique identifier code issued to Kim G Cole by the Centers for Medicare & Medicaid Services (CMS)?

The Kim G Cole has been assigned the NPI (National Provider Identifier) 1669453221. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Kim G Cole is located?

The Kim G Cole is situated at the following address: 202 Lake Miriam Dr Ste S1, Lakeland, FL, 338132188.

What is Kim G Cole's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kim G Cole's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1669453221 to Kim G Cole?

The Centers for Medicare & Medicaid Services originally issued the 1669453221 to Kim G Cole on 2005-11-10.

When was the information pertaining to Kim G Cole most recently updated or revised?

The details related to Kim G Cole, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-20.

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