| NPI | 1285749846 |
|---|---|
| Former Name | KELLY D COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35092524) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00040957) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-12-17 |