| Doctor Name: | DR. KIMBERLY COLE |
| NPI Number: | 1326211731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY. D. |
| License Number: | PY00003698 |
| Business Practice Address: | 108 N Jefferson St Medical Lake, WA - 990229613 |
| Business Phone Number: | 5094962857 |
| Business Fax Number: | 5093155048 |
| Mailing Address: | 14304 E 10th Ave, SPOKANE VALLEY |
| State: | WA |
| Postal Code: | 990379648 |
| Phone Number: | 5094962857 |
| Fax Number: | 5093155048 |
| NPI Enumeration Date: | 04/07/2008 |
| NPI Last Update Date: | 01/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00003698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |