| NPI | 1619401841 |
|---|---|
| Other Name | KIMBERLY DAWN COLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV APRN70668-AGPCNP-BC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN70668) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2020-03-08 |