KELLY L COLE (NPI# 1588638969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588638969 |
| Entity Type | Individual |
| Full Name | KELLY L COLE |
| Credential | D.O. |
| Practice Address |
121 E Main St Providence KY 42450-1268 |
| Mailing Address |
Po Box 310 Providence KY 42450-0310 |
| Practice Telephone | 2706672023 |
| Practice Fax Number | 2706677518 |
| Mailing Telephone | 2706672023 |
| Mailing Fax Number | 2706677518 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02437 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| THE FUNDS ID | 1386132 | 01 | |
| BLACK LUNG | 027299800 | 01 | |
| KY | ANTHEM BLUE CROSS & BLUE | 00000043968 | 01 |
| KY | 1103582 | 05 | |
| KY | 64024375 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780954495 | Kelly Kathleen Cole | Massage Therapist | 1727 E. Francis Ave, Spokane, WA 99208 | 2012-01-11 |
| 1477792760 | Kelly Cole | Occupational Therapist | 31 Fernich Ct, Montgomery, NY 12549 | 2009-02-11 |
| 1558496935 | Kelly Cole | Social Worker | 830 G St Ste 200, Arcata, CA 95521-6256 | 2007-02-23 |
| 1508978263 | Kelly M Cole | Nurse Practitioner | 2901 N Knoxville Ave, Peoria, IL 61603-1747 | 2006-08-31 |
| 1780691071 | Kelly L Cole | Registered Nurse | 1750 Vinson Dr, Redding, CA 96003-7939 | 2006-08-01 |
| 1285624932 | Kelly Lynn Cole | Physician Assistant | 1034 Nw 57th St, Gainesville, FL 32605-4482 | 2005-10-25 |
| 1467052274 | Kelly Leigh Cole | Pharmacist | 3221 N Monroe St, Tallahassee, FL 32303-2821 | 2020-10-30 |
| 1275181042 | Kelly Ann Cole | Physical Therapist | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2019-08-26 |
| 1801339346 | Kelly Jean Cole | Physical Therapist | 135 Bunton Creek Rd, Kyle, TX 78640-5787 | 2016-12-01 |
| 1780067868 | Kelly Cole | Student in an Organized Health Care Education/Training Program | 1400 K St, Modesto, CA 95354-1018 | 2015-07-07 |
| Street Address |
121 E MAIN ST |
| City | PROVIDENCE |
| State | KY |
| Zip Code | 42450-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043640659 | Christina Cole Chumley | Nurse Practitioner | 121 E Main St, Providence, KY 42450-1268 | 2013-11-18 |
| 1851549711 | Heather T. Davis | Nurse Practitioner | 121 E Main St, Providence, KY 42450-1268 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255476594 | Jon Gregory Dunn | Dentist | 110 Barrett St, Providence, KY 42450 | 2007-02-21 |
| 1013010768 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 105 Us Highway 41a S, Providence, KY 42450 | 2006-09-07 |
| 1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
| 1194020230 | Regional Health Care Affiliates, Inc | Family Medicine | 9086 State Route 132 West, Clay, KY 42450 | 2011-01-21 |
| 1245535848 | Winona F Lambdin | Nurse Practitioner | 215 E Main St, Providence, KY 42450 | 2011-01-13 |
| 1376747519 | Providence Ind. Schools | Local Education Agency (LEA) | 302 W Main St, Providence, KY 42450-1140 | 2007-06-12 |
| 1336650662 | Chelsey Aikins | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-10-13 |
| 1477087963 | Ellen Parrish | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-04-12 |
| 1427598952 | Allison Marie Choate | Dietitian, Registered | 215 E Main St, Providence, KY 42450-1261 | 2017-03-02 |
| 1407393481 | Ronnah Ann Alexander | Pharmacist | 215 E Main St, Providence, KY 42450-1261 | 2017-01-27 |
| Find all providers in zip 42450 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254876 | Jean Ernst Noel | Family Medicine | 22 Parsonage St # 194, Providence, RI 02903-4758 | 2019-09-12 |
| 1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1114115664 | Jeremy Broadhurst | Family Medicine | 190 S Highway 165, Providence, UT 84332-9512 | 2007-10-10 |
| 1053443911 | Chad Brown Health Center | Family Medicine | 285a Chad Brown St, Providence, RI 02908-3102 | 2007-03-09 |
| 1679608582 | Peachtree Family Medicine PC | Family Medicine | 169 N Gateway Dr, 170, Providence, UT 84332-9855 | 2007-02-22 |
| 1679647432 | Marsha Maxine Miller | Family Medicine | Brown University Health Services, Brown University, 13 Brown Street, Providence, RI 02912-0001 | 2006-11-20 |
| 1881781920 | Arthur A Frazzano | Family Medicine | 97 Waterman St, Providence, RI 02912-9079 | 2006-10-09 |
| 1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
| 1629181268 | David J Coia | Family Medicine | 235 Plain St Ste 103, Providence, RI 02905-3242 | 2006-08-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 42450 |
Please comment or provide details below to improve the information on KELLY L COLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.