Doctor Name: | KATHRYN JANE COLE |
NPI Number: | 1952557738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.C |
License Number: | 066549 |
Business Practice Address: | 403 Parkway Dr Park Hills, MO - 636014435 |
Business Phone Number: | 5734315191 |
Business Fax Number: | 5734317449 |
Mailing Address: | 403 Parkway Dr, PARK HILLS |
State: | MO |
Postal Code: | 636014435 |
Phone Number: | 5734315191 |
Fax Number: | 5734317449 |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 06/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 066549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |