person
Mr. Kim G Cole, PA
Medical Physician Assistant in Lakeland, Florida
NPI 1669453221

Kim G Cole is a Medical Physician Assistant based in Lakeland, FL and is specialized in Medical. Kim G Cole practices in Lakeland, FL and has the professional credentials of PA. The NPI Number for Kim G Cole is 1669453221 and holds a License No. PA 2993 (Florida).

The current practice location address for Kim G Cole is 202 Lake Miriam Dr Ste S1, Lakeland, FL and can be reached out via phone at 863-647-2333 and via fax at 863-393-1995. You can also correspond with Kim G Cole through the mailing address at 202 LAKE MIRIAM DR STE S1, LAKELAND, FL - 33813-2188 (mailing address contact number: 863-647-2333).

Location: 202 Lake Miriam Dr Ste S1, Lakeland, FL, 33813-2188
person
Provider Profile Details
NPI Number
1669453221
Provider Name
Kim G Cole
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
202 Lake Miriam Dr Ste S1, Lakeland, FL, 33813-2188
Phone Number
863-647-2333
Fax Number
863-393-1995
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA2993 01 FL STATE LICENSE
10679201 01 FL CITRUS HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
202 Lake Miriam Dr Ste S1
City
State
Zip
33813-2188
Phone Number
863-647-2333
Fax Number
863-393-1995
person
Provider Business Mailing Address Details
Address
202 Lake Miriam Dr Ste S1
City
State
Zip
33813-2188
Phone Number
863-647-2333
Fax Number
863-644-6729
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 2993 (Florida)
Definition
Definition to come...
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